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District Judge Karen Marston will now manage the MDL

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Monitoring strategies during a Mounjaro pause should include: Increased blood glucose testing checking levels at least twice daily (fasting and pre-evening meal) or as advised by your diabetes team Maintaining a glucose diary to identify patterns and guide any necessary interventions Recognising hyperglycaemia symptoms such as increased thirst, frequent urination, fatigue, or blurred vision Some patients may require temporary medication adjustments during the Mounjaro-free period

Niacinamide (vitamin B3) supports NAD+ production, which is involved in cellular energy metabolism and DNA repair

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Injection training: patients receive hands-on training on subcutaneous self-injection technique, vial storage (refrigerated), and reconstitution if supplied lyophilized