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The patient increased the tirzepatide dose to optimize her diabetes management as suggested by the clinical team given the known risk of this medical comorbidity on surgical outcomes, particularly infection, given the medical device implantation
Nasal absorption can be rapid and relatively consistent, but the nasal mucosa has less surface area than the sublingual space, and nasal formulations often cause local irritation
Accordingly, people with type 2 diabetes, cardiovascular disease, heart failure, or chronic kidney disease should be treated appropriately with an SGLT-2 inhibitor or GLP-1RA, even because more adults with type 2 diabetes in the US have suboptimal glycemic control now compared to 10 years ago, associated with a resurgence in vascular diabetic complications [32]
I started tracking points on the iPhone app and weighing myself at home
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