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Increase to 0.75mg daily and verify UV co-exposure is occurring

Contraves Cardiovascular Profile Contrave has modest cardiovascular concerns: Known effects: May increase resting heart rate by 1-2 bpm on average May increase blood pressure in some patients Contraindicated in uncontrolled hypertension Cardiovascular outcome data: The LIGHT trial studied cardiovascular outcomes with Contrave but was terminated early due to data release issues

Ozempic is expensive, especially for those without insurance or whose plans cover only a small portion of the price

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Growth hormone is diabetogenic