Opinion|Videos|October 2, 2026

Practical Advice for Patients Starting Incretin-Biologic Therapy

A clinician's dosing and nutrition guidance meets a patient's hard-won advice for anyone entering combination therapy: manage expectations, stay engaged with your doctor, and be willing to keep exploring.

In "Practical Advice for Patients Starting Incretin-Biologic Therapy," the panel offers practical guidance for patients and clinicians navigating this new combination.

Dr. Perkins acknowledges real practical challenges, including limited visit time and patient uncertainty driven by mixed messaging in the media, with some patients eager to start immediately and others fearful. She says her role is to normalize the medicine, framing it like any other drug with real risks, side effects, and benefits that must be weighed. She already sees patients like Kameillia every few months. That makes it manageable to build nutrition counseling and dose adjustments into routine visits, rather than treating it as an entirely separate specialty. Kameillia then offers her own advice to patients and clinicians. She says working through eight different medications before finding one that worked was not an easy journey. She stayed open-minded because she understood what the alternative, staying chronically ill, would cost her. She credits Dr. Perkins for never dismissing her concerns and always taking time to explain a decision fully. That built the trust needed to keep trying new options. Her core message to other patients is to stay willing to explore. What works for one person will not work for everyone, but the right option can be transformative. Her message to clinicians is to see the whole patient, including mental health, not only the joints or skin in front of them.

The last episode, "Clinical Pearls for Nutrition and Weight Loss in PsA," turns to nutrition specifics and the clinical pearls Dr. Perkins offers before the discussion wraps.


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