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In patients with dense breasts who desire supplemental screening, the ACR recommends supplemental screening with breast MRI with contrast-enhanced mammography or ultrasound as alternatives [20]

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For patients who do not achieve adequate weight loss with lifestyle modifications and optimized thyroid replacement, consultation with an obesity medicine specialist may be appropriate to discuss FDA-approved anti-obesity medications such as semaglutide, tirzepatide, phentermine/topiramate, naltrexone/bupropion, or orlistat, which have demonstrated greater weight loss efficacy than metformin in clinical trials

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Every entry uses the 10 mg/mL concentration because it offers the cleanest math across all vial sizes and maintains consistency whether you switch between a 10 mg and 30 mg vial next month