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We recently encountered a similar case at our institution - a 49-year-old woman with type 2 diabetes, obesity, and chronic pain on long-term narcotic therapy, who presented with abdominal distension and vomiting after two years of tirzepatide (Mounjaro) therapy

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It has been proven that this form of glucocorticoid administration is usually associated with higher effectiveness in maintaining low clinical disease activity than the constant administration of continuous doses [5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39]

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Nissen et al., 2019

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