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Adding tirzepatide, with its potential to cause dehydration and electrolyte disturbances that further lower seizure threshold, compounds an already unacceptable risk
If 7.5mg weekly produces consistent weight loss and manageable side effects, staying at Tier 2 instead of escalating to Tier 3 or Tier 4 saves $40 to $180 per refill cycle
Paustian, L
Improve the nutrition, and you give those consumers a reason to come back
Its more medically complex than general weight counseling and requires coordination with prescribing providers
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