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Secure telehealth consultations throughout Queens and New York Physician-guided weight loss care Mounjaro, Zepbound, and tirzepatide treatment discussions Compounded tirzepatide programs when medically appropriate Insurance verification assistance Affordable self-pay options Ongoing follow-up care and provider support Care available in English, Spanish, Ukrainian, and Russian Key Takeaways Mounjaro, Zepbound, and tirzepatide consultations are available throughout Queens via telehealth

Patients should be advised to: Inspect feet daily for injuries, blisters, or colour changes Wear well-fitting footwear and avoid walking barefoot Maintain good foot hygiene and moisturise dry skin (avoiding between toes) Seek same-day assessment by the multidisciplinary foot care service for any new foot wounds, signs of infection, or sudden changes in foot shape Attend annual diabetes reviews incorporating the Nine Care Processes, including foot screening Referral to specialist services is appropriate when: Neuropathic pain remains inadequately controlled despite optimised primary care management Diagnostic uncertainty exists regarding neuropathy aetiology, or features are atypical or rapidly progressive Foot ulceration, infection, or suspected Charcot arthropathy develops (same-day referral to multidisciplinary foot care service per NICE NG19) Severe infection or critical limb ischaemia (emergency hospital admission) Severe autonomic symptoms significantly impair quality of life Patient engagement through diabetes self-management education empowers individuals to optimise lifestyle factors including diet, physical activity, and smoking cessationall contributing to improved metabolic control and reduced complication risk

[DOI] [PMC free article] [PubMed] [Google Scholar] 14.Efficacy of exenatide on weight loss, metabolic parameters and pregnancy in overweight/obese polycystic ovary syndrome

[DOI] [PMC free article] [PubMed] [Google Scholar] 240.Pearl RL, Donze LF, Rosas LG, et al

George, S

In large clinical trials such as TRIUMPH-4, these agents have demonstrated substantial weight loss and improvements in inflammatory and cardiometabolic markers [33]