pie title กลุ่มผู้ใช้ยาปากกาลดน้ำหนักในไทย
"ผู้หญิงวัยผู้ใหญ่ที่มีภาวะอ้วน" : 55
"ผู้ชายวัยผู้ใหญ่ที่มีภาวะอ้วน" : 35
"ผู้ป่วยโรคอ้วนและโรคแทรกซ้อน" : 10
อ้างอิง https://mwi.anamai.moph.go.th/web-upload/migrated/files/mwi/n1674_a678ca57e7a05b2bf25b0c2f292597bc_article_20190618122305.pdfStandard guidelines for using weight-loss pens.
- User criteria
- BMI ≥30 or BMI ≥27 with co-morbidities.
- Assess BMI and comorbidities before starting medication.
- Behavior modification is also necessary.
- Nutrition, exercise, sleep/stress management.
- Continue this throughout the treatment.
- Initiating medication and monitoring.
- Start with a low dose and gradually increase it as the patient tolerates the medication.
- Follow-up appointment for side effects and weight monitoring.
- Criteria for discontinuing medication.
- If you lose less than 5% of your weight within 6 months, consider stopping or adjusting your plan.
- Monitoring security.
- Digestive system, pancreas, liver/kidneys, thyroid gland, vision.
- Notify your doctor immediately if you experience any unusual symptoms.
- Treatment principles
- It is a long-term treatment under medical supervision.
- It's not a "shortcut" to weight loss.
Calculate your BMI to provide information to your doctor.
BMI guidelines for Thai people (WHO – Asia Pacific)
| BMI (kg/m²) | เกณฑ์ | Risk |
|---|---|---|
| Less than 18.50 | Underweight / Skinny | More than normal people |
| 18.50-22.90 | Normal (healthy) | Like a normal person. |
| 23.00-24.90 | Overweight / Obesity level 1 | Level 1 hazard |
| 25.00-29.90 | Obesity / Obesity level 2 | Level 2 hazard |
| มากกว่า 30.00 | Severely obese / Obesity level 3 | Level 3 hazard |
How long have weight-loss pens been around?
Weight-loss pens have been available on the pharmaceutical market for about a decade, initially appearing internationally. They are widely known and used in America and Europe, but their popularity has increased significantly in the last 5-10 years due to advances in medical technology focused on treating overweight and diabetic patients.
What is a weight-loss pen?
A weight loss pen is a device that dispenses medication in a pen-like format, making it easy to use. Generally, it's a specific GLP-1 (Glucagon-Like Peptide-1) hormone, such as Semaglutide or Liraglutide, used to treat obesity or overweight.
How do weight loss pens work?
Weight loss pens work by injecting medication under the skin. This group of drugs usually works by:
- Reducing appetiteGLP-1 has the effect of making you feel full faster and eat less. This result is due to hormones stimulating the brain to produce a feeling of fullness.
- Delay the start of digestion in the stomach.The medication slows the movement of food from the stomach to the intestines, making you feel full for longer.
- Controls the liver's glucose production.Medication helps lower blood glucose levels by increasing the sensitivity of various tissues to insulin and reducing the liver's production of glucose.
- Enhance energy efficiency.GLP-1 can also increase the body's energy expenditure, which aids in weight loss.
The use of weight-loss pens requires guidance and supervision from a doctor to ensure optimal results and maximum safety.
Weight loss pens or appetite suppressant pens: Who are they suitable for?
- People who are overweight.Or, having a Body Mass Index (BMI) of 30 or greater is considered overweight.
- People with health problems or various diseases.For example, diabetes, high blood pressure, or high cholesterol.
- People who are in the process of losing weight and need assistance.To successfully lose weight.
- For those who want to reduce their snacking habits.Helps control appetite and unhealthy eating habits.
- Those who have tried other methods and seen no results.For example, using substandard weight-loss medications.
- Those who want a safe way to lose weight.No side effects and no yo-yo effect.
Let's check if an appetite suppressant pen is right for you.
- People who are obese.:
- Body Mass Index (BMI) greater than or equal to 30.
- People who are overweight.:
- A Body Mass Index (BMI) between 27-29.
- People aged 18 years and older.
- People with weight-related health problems. such as:
- diabetes
- High blood pressure
- Abnormal blood lipid levels.
- Obstructive sleep apnea
- Those who want to lose weight
- People who have a habit of snacking constantly, eating non-stop, and feeling hungry often.:
- And we want to reduce these eating habits.
Wegovy slimming pen
| Ozempic™ | Wegovy™ | |
|---|---|---|
| Active ingredients: | Semaglutide | Semaglutide |
| Injection methods: | ฉีดใฆ | ฉีดใฆ |
| Packaging size: | 1 pen and 4 disposable syringes. | One pen (2.4 mg/1.5 ml) per week. |
| Adjustable dosage: | 0.25 mg, 0.5 mg, 1 mg, 2 mg | 0.25 mg, 0.5 mg, 1 mg, 1.7 mg, 2.4 mg |
| Injection frequency: | Once a week | Once a week |
| The advantages: | - Lose weight faster than the normal method. - Ideal for those who are afraid of needles and don't have time. – Effectively controls hunger and reduces snacking. - Helps control weight effectively without the yo-yo effect. – Does not interfere with daily life or cause easy fatigue. – Makes you feel full longer, leading to reduced food intake. – After stopping the medication, the weight does not return to its original level. – Approved by the Thai Food and Drug Administration (FDA). | – Very effective for weight loss with a dosage of 2.4 mg. – The maximum dosage you can use per week. – It has a specific effect on weight loss. – Controls hunger and reduces appetite. - Approved by the Thai FDA; supported by research. – Side effects similar to Ozempic (e.g., nausea, vomiting). |
Saxenda VS Ozempic Appetite Suppressant Pens
| Saxenda® | Ozempic™ |
|---|---|
| Active ingredients: Liraglutide | Active ingredients: Semaglutide |
| Injection methods: ฉีดใฆ | Injection methods: ฉีดใฆ |
| Packaging size: 5 pens (each containing 3 ml) | Packaging size: 1 pen and 4 disposable syringes. |
| Adjustable dosage: 0.6mg, 1.2mg, 1.8mg, 2.4mg, 3.0mg | Adjustable dosage: 0.25mg, 0.5mg, 1mg, 2mg |
| Injection frequency: Every day | Injection frequency: Once a week |
| The advantages: – Lose weight quickly and safely. – Effectively controls hunger and reduces snacking. - Helps control weight effectively without the yo-yo effect. – No palpitations or insomnia. – Makes you feel full longer, leading to reduced food intake. - Stopping the medication does not cause weight gain. – Approved by the Thai FDA and supported by research. | The advantages: – Lose weight up to 3 times faster than normal. - Ideal for those who are afraid of needles and don't have time. – Effectively controls hunger and reduces snacking. - Helps control weight effectively without the yo-yo effect. – No palpitations or insomnia. – Makes you feel full longer, leading to reduced food intake. - Stopping the medication does not cause weight gain. – Approved by the Thai FDA and supported by research. |
Trulicity VS Ozempic Skin Control Pen
| Trulicity | Ozempic |
|---|---|
| Active ingredients: Dulaglutide | Active ingredients: Semaglutide |
| Injection methods: ฉีดใฆ | Injection methods: ฉีดใฆ |
| Packaging size: 4 pens (each containing 0.5 ml) | Packaging size: 1 pen and 4 disposable syringes. |
| Adjustable dosage: 0.75 mg, 1.5 mg | Adjustable dosage: 0.25mg, 0.5mg, 1mg, 2mg |
| Injection frequency: Once a week | Injection frequency: Once a week |
| The advantages: – Control your appetite. – Weight loss (especially when combined with diet and exercise) – Inject once a week. – Few side effects. - Approved by the Thai FDA. | The advantages: – Lose weight up to 3 times faster than normal. - Ideal for those who are afraid of needles and don't have time. – Effectively controls hunger and reduces snacking. - Helps control weight effectively without the yo-yo effect. – No palpitations or insomnia. – Makes you feel full longer, leading to reduced food intake. - Stopping the medication does not cause weight gain. - Approved by the Thai FDA. |
Mounjaro slimming pen VS Wegovy slimming pen
| Mounjaro (tirzepatide) | Wegovy (semaglutide) | |
|---|---|---|
| Year of approval by Thai FDA. | July 31, 2567 | 3 August 2566 |
| how to use | Inject once a week. | Inject once a week. |
| Dosage range | 2.5 – 15.0 mg | 0.25 – 2.4 mg |
| Target of action | GLP-1 and GIP | GLP-1 |
| Common side effects | Nausea, diarrhea, constipation, vomiting. | Nausea, diarrhea, vomiting, constipation |
| Average weight loss results. (*Varies depending on the individual) | Average weight loss of 22.5% after 72 weeks (15 mg dose). | Average weight loss of 14.9% after 68 weeks (2.4 mg dose). |
Review after consultation and service receipt.
Caution: Appetite suppressant pen.
- Consult a doctor before use to assess the risks and benefits.
- This is not a weight-loss pill for everyone, and it should be used in conjunction with a controlled diet and exercise.
- It may interact with other medications.
- Not suitable for some patients, such as those with type 1 diabetes, pregnant women, and those with a history of thyroid cancer.
Possible side effects.
Dulaglutide, Semaglutide, and Liraglutide are GLP-1 receptor agonists used to treat diabetes and for weight loss. However, like any other medication, they also have potential side effects, which can be summarized as follows:
Common side effects:
- Nausea, vomiting, diarrhea: This is the most common side effect, but it may lessen as the body adjusts.
- Low blood sugar levels: Those who are also taking other blood sugar-lowering medications should be aware of symptoms such as sweating, palpitations, and dizziness.
Serious side effects (rare):
- Pancreatitis: I have symptoms of nausea, vomiting, and epigastric pain radiating to my back.
- Thyroid cancer: Do not use if you have a personal or family history of this type of cancer.
- Gallstones: I have symptoms of nausea, vomiting, and pain in the right lower rib cage radiating to my right shoulder blade.
- Rapid pulse
- Acute kidney failure: It is rare and usually occurs in people who are also dehydrated.
- Diabetic retinopathy worsens: It may cause blurred vision or blindness.
Precautions:
- Medication should be used under close medical supervision.
- Inform your doctor if you experience any unusual symptoms.
- Consult your doctor or pharmacist for more information.
How much does an appetite suppressant pen cost?
| Hunger Control Pen Program Weight management | Price (Baht) |
|---|---|
| Mounjaro | 25,000 |
| wegovy | 17,000 |
| Ozempic | 17,000 |
| Trulicity | 14,000 |
MOUNJARO 2.5 MG Suitable for first-time users.
- 1 set 25,000.- (valid for 1 month)
- 2 sets for 46,000 baht.
- 3 sets for 63,000 baht.
MOUNJARO 5 MG
- 1 set 29,000.- (valid for 1 month)
- 2 sets for 54,000 baht.
- 3 sets for 75,000 baht.
WEGOVY 0.5 MG Suitable for first-time users.
- 1 set 17,000.- (valid for 1 month)
- 2 sets for 30,000 baht.
- 3 sets for 39,000 baht.
WEGOVY 1 MG
- 1 set 19,000.- (valid for 1 month)
- 2 sets for 34,000 baht.
- 3 sets for 45,000 baht.
OZEMPIC 0.5 MG Suitable for first-time users.
- 1 set 17,000.- (valid for 1 month)
- 2 sets for 30,000 baht.
- 3 sets for 39,000 baht.
OZEMPIC 1 MG
- 1 set 19,000.- (valid for 1 month)
- 2 sets for 34,000 baht.
- 3 sets for 45,000 baht.
Injection site for weight control pen.
The most suitable location is:
- abdomen (Abdomen):
- The area around the navel, but about 2 inches away from it.
- Avoid injecting in areas with wounds or scars.
- front thigh (Front of the Thighs):
- The middle, front, and sides of the thighs.
- The injection site should be changed each time to minimize tissue scarring.
- Upper arm (Upper Arm):
- The back of the upper arm, from the elbow to the shoulder.
- Someone needs to help you administer the injection if you can't do it yourself.
ข้อห้าม
- Do not inject intravenously. (Intravenous):
- Intravenous injection is not suitable for medications designed for subcutaneous administration and can be dangerous.
- Do not inject intramuscularly. (Intramuscular):
- Intramuscular injections may not produce the desired results and may cause pain or injury.
Correct practice
- Wash your hands before and after receiving an injection.
- Wipe the area where you want to spray with alcohol.
- Use a clean, sterile needle (a new needle is required each time).
- Inject the medication at the appropriate angle as instructed by your doctor.
How to use the Ozempic appetite suppressant pen.
Prepare your pen.
- Read the label to confirm your pen contains Ozempic®.
- Check that the liquid in the pen is clear and colorless.
Insert a new needle.
- Tear off the covering paper.
- Press and rotate the needle until it is firm.
- Remove both needle covers.
Check to see if any medication is leaking out.
- Rotate the volume selector until the volume counter displays the check flow symbol.
- Press and hold the volume button until the volume counter displays 0.
- Make sure a drop appears at the tip of the needle.
Select the drug release rate.
- Rotate the dosage selector until the dosage counter displays the amount you need to inject (0.25 mg or 0.5 mg for the red label pen, 1 mg for the blue label pen, and 2 mg for the yellow label pen).
Inject the drug into the body.
- Insert the needle into your skin.
- Press and hold the volume button.
- After the counter displays 0, slowly count to 6.
- Remove the needle from your skin.
Post-injection instructions
- Carefully remove the needle and place it in a sharps disposal container.
- Put the pen cap back on the pen.
Storing a weight-loss pen.
Properly storing weight-loss pens is essential to maintain the quality and safety of the medication. Here's how to store them correctly.
- Keep unopened injectable medications stored.:
- Store in the refrigerator at a temperature of 2-8 degrees Celsius.
- Do not store the medication in the freezer.
- After activation.:
- Store at room temperature, preferably below 30 degrees Celsius.
- The medication will have a shelf life of 1 month after first opening.
- Additional storage instructions.:
- Keep medicine out of reach of children.
- Do not use this medication if the solution is cloudy, unclear, or contaminated with color.
- Always put the pill cover back on when not in use.
- Each injection pen is for use on only one patient. Do not share with others. Even after changing the stylus.
Storing your weight-loss pen according to these instructions will help maintain its quality and effectiveness.
Schedule an appointment to discuss and begin your transformation.
Start your journey to a better physique and improved health with the Mounjaro program at D' Lovevery Clinic today. Our team of doctors is ready to provide consultation and design the most suitable program for you.
Contact us at
- Paseo Town Ramkhamhaeng Branch (Soi 127/3, next to the Tesla center) Contact 064-424-6526
- Crystal Design Center (CDC) branch (Located along the Ekamai-Ramintra Expressway) Contact 095-236-4546
Water fasting involves abstaining from all food but drinking only water. Some people do it for 1-3 days, while others may do it longer. They say it helps detoxify, aids in weight loss, or restores balance to the body.
But I must warn you, it may cause fatigue, dizziness, or headaches, and it's not suitable for everyone, especially those with underlying medical conditions, children, pregnant women, or the elderly. I've tried it myself too.
If anyone is interested in trying this, don't forget to consult a doctor or specialist first. We need to assess whether your body is ready and what the safest way is. You can't just follow trends or fads. There are many ways to restore or improve your health, and some methods may not be suitable for you.
Finally, remember that eating a balanced diet with all five food groups and exercising regularly, appropriate for your age, is the best and safest way to maintain good health.
Yes, you should. However, if you're going to use an appetite suppressant pen, I recommend avoiding or abstaining from alcohol. Alcohol is high in calories, which may hinder effective weight loss and increase the risk of low blood sugar. It can also trigger side effects like nausea or stomach pain from the medication. Furthermore, frequent drinking can reduce the effectiveness of the medication and disrupt the body's natural balance process. For noticeable and safe weight loss, I recommend abstaining from alcohol altogether!
Do you believe the doctor when he says that most patients who ask this question aren't asking for themselves? Most of them are asking for their partner, wife, or husband. Because he's the one who's affected when he has to sleep next to her. That's what the doctor explained.
when increased body weight Fat accumulates in several locations, such as: Front of the neck Narrowing the airway; Fat in the tongue This can cause the tongue to enlarge and potentially obstruct the airway when lying on your back, including: Visceral fat (VAT) This increases pressure on the diaphragm, resulting in: The lungs cannot expand fully. All of these can lead to difficulty breathing, restless sleep, and possibly... Snoring or sleep apnea. Unbeknownst to them, some people, even after getting enough sleep, still feel unrested and suffer from chronic fatigue.
therefore การ ลด น้ำหนัก It not only changes the external appearance, but also helps... Restore sleep quality and overall health. Clearly, many people experience life-changing results after losing weight; they feel more refreshed, sleep more deeply, and if anyone snores or suspects they have a sleep problem, they should get checked. sleeping test To assess the severity of the situation, as poor sleep quality increases the risk of heart disease, brain damage, and other vital organ problems, consult a doctor if you want to start making changes to your health to find the right approach for you.
The doctor would like to summarize the questions that many people have, especially patients who are just starting to use the product. Ozempic This is my first time providing this information, and I've received so many questions about it. I understand that many of you may be concerned or want to know how the different dosages differ. So, I've created an easy-to-understand comparison table to help you make better decisions and understand how to use your medication.
Hello, this is Dr. Tar. Many patients have been asking about the difference between Intermittent Fasting (IF) and Water Fasting, and which one is better to choose.
Intermittent Fasting (IF) is like dividing your eating and fasting periods each day. Typically, it's 16 hours of fasting followed by 8 hours of eating, or some people do the 5:2 ratio, eating 5 days and fasting 2 days a week. Water Fasting, on the other hand, involves abstaining from all food and drink except water for several days.
The main difference is...
- Duration: Intermittent Fasting (IF) can be done daily as a lifestyle, but Water Fasting is usually done only 1-3 days occasionally.
- Difficulty: Intermittent Fasting (IF) is much easier and you adapt quickly, but Water Fasting is quite difficult; you really need a strong will.
- Results: Intermittent Fasting (IF) helps with weight loss and better blood sugar control, while Water Fasting leads to faster weight loss but may have more side effects.
- Safety: Intermittent Fasting (IF) is generally safer for the average person, but Water Fasting requires extreme caution and should be done under the supervision of a doctor.
- Sustainability: Intermittent Fasting (IF) can be done regularly for extended periods, but Water Fasting should not be done too frequently or for too long.
In short, if you want to lose weight gradually, safely, and sustainably, I recommend Intermittent Fasting (IF). However, if you want faster results and are willing to take on a challenge, Water Fasting is an option, but you should be cautious and consult a doctor first.
Finally, remember that no matter which method you choose, your health should always come first. If you have any further questions, feel free to consult me anytime.
If you have received a Mounjaro pen and find that after completing the prescribed injections, there is still medication remaining in the pen, it is recommended to consult your doctor about whether you should continue with the remaining medication or use a new pen. However, in most cases... The doctor has assessed that the remaining medication in the pen is still safe, not expired, and can be injected in the 5th week. Because the medication is designed to have some degree of tolerance.
However, before using any remaining medication, always carefully check the condition of the medication pen and the expiration date, and strictly follow your doctor's instructions regarding the correct injection method. If you have any questions about the dosage or storage, consult your doctor. For your utmost safety, you should consult your doctor directly.
Weight is skyrocketing… even though you're controlling your diet and exercising according to a plan, but why is your weight staying the same or increasing slowly? This is often not just a matter of discipline, but rather a "signal from hormonal imbalance." Hormones regulate metabolism, hunger and satiety, energy storage, and fat distribution. When they are imbalanced, the body burns calories more slowly, making it easier to gain weight and harder to lose it. This is especially noticeable in women, who have a more delicate hormonal cycle. The points to focus on are: Leptin (Satiety hormone—leptin resistance leads to insatiable hunger), ghrelin (Hunger hormones—causes a surge when sleep is lacking or when stressed), glucose (= dextrose) (Controlling blood sugar—if insulin resistance occurs, fat will accumulate easily.) Cortisol (Stress hormones—cause cravings for sweets and store belly fat), Thyroid hormones (Thyroid—slow metabolism, cold hands and feet, hair loss, rapid weight gain), and Sex hormones For example, estrogen/progesterone (fluctuations during menstruation, postpartum, or menopause—changes the pattern of fat accumulation, especially in the hips, thighs, or abdomen).
The doctor's advice is to always adjust your "lifestyle" first. Get enough sleep to reduce... ghrelin And add leptinEat a low-sugar, sufficient-protein diet to help. insulin Work, manage stress to reduce... cortisol, andตรวจเช็ก thyroid If you experience symptoms indicating hormonal fluctuations, focus on magnesium, omega-3, fiber, and weight training to help recombine. If weight management remains difficult, we recommend a systematic hormone and metabolism analysis followed by a personalized balance plan. The result will be easier weight management, a more toned physique, and importantly—improved skin health, energy levels, and mood.
It's a good sign if you're overweight but don't look fat. This is what your body is telling you.
Different body compositions
- Muscle is denser than fat.
- People with a high muscle mass may weigh above the BMI but are not obese.
Signs of good health.
- Have good muscle mass (Lean Body Mass).
- Regular exercise may be necessary.
- There is a balanced distribution of fat.
In summary, being overweight but not obese can be a good sign, indicating good muscle mass and overall health. However, a thorough body composition analysis is recommended for complete assurance of good health.
