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Patients should be educated about the importance of maintaining treatment adherence, as discontinuation leads to recurrent deficiency within months to years

Clinical trials have shown the beneficial effects of metformin on cardiovascular system 4,5,6

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Mounjaro (tirzepatide) is still being studied for long-term effects, but potential risks include gastrointestinal issues (nausea, vomiting, diarrhea, constipation), gallbladder problems (such as gallstones), low blood sugar (if taken with certain diabetes medications), and potential thyroid-related concerns

The decision is individualized: Pregnancy, breastfeeding, or planning pregnancy within the next two months

Medicare and Medicaid have their distinct criteria for coverage