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thyroid cancer or hyperthyroidism, gastroparesis, pancreatic cancer or pancreatitis, MEN2 syndrome, or inflammatory bowel disease)

Exenatide QW is available in two formulations, so specification on the prescription is required to use the more patient-friendly pen formulation

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Telemedicine Practice Standards States Regulate: Consultation Requirements: Some states require live video or phone (not just messaging) Others allow asynchronous (message-based) consultations Documentation requirements vary Patient consent forms differ Prescribing Standards: What can be prescribed via telehealth Whether initial in-person visit required (rare for weight loss now) Documentation needed in medical record Follow-up requirements Examples of State Variations: More Restrictive States: May require video consultation (not just questionnaire) Additional documentation requirements More stringent informed consent Limitations on initial prescribing More Permissive States: Allow asynchronous consultations Streamlined documentation Fewer restrictions on telehealth prescribing Legitimate providers comply with each states specific requirements

Taken together, these observations suggest that a reduction in the deceleration of gastric emptying may occur even within 4 hours of administration of exogenous GLP-1RAs (20)