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Educate Your Patient Set expectations early: This drug is a pathway opener not a bypass for the repairs we'll do together. Position GLP-1 therapy as a temporary scaffold, not the structure itself
However, the medication is contraindicated in patients with personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2
It's disconcerting but typically resolves within a few weeks
otherwise skip and resume on your usual day
High VLDL indicates insulin resistance, which means cardiovascular risk is elevated even beyond what the lipid numbers alone suggest
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