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Exclusion criteria were: concomitant GLP1RAs or DPPi based therapies and absolute/relative contraindications to GLP1RAs
Cheng HJ, Chen T
Tirzepatide targets GLP-1 and GIP pathways, and some studies show higher average weight loss
Category 3: Medical necessity not established (10% of denials) BMI below threshold Insufficient duration of prior treatment attempts Contraindication present (family history of medullary thyroid cancer, pregnancy) Solution: If clinical facts support coverage, file a formal appeal
We recommend taking Acetyl L-CARNITINE before exercise , preferably 30 to 60 minutes before a workout
Vitamin D toxicity, StatPearls (2023)
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