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Modern pens and continuous glucose monitors (CGMs) have made this easier, but it is still a commitment

Anesthesia and surgery induce age-dependent changes in behaviors and microbiota

Common Side Effects These occur in many patients using tirzepatide: Nausea Diarrhea Decreased appetite Stomach pain Constipation Serious but Rare Side Effects These occur in less than 1% of patients: Severe allergic reactions Pancreatitis (pancreas inflammation) Gallbladder problems Vision problems Kidney problems Thyroid tumors (only seen in animal studies) Patients using compounded versions may experience additional side effects due to contamination or dosing inconsistencies that would not occur with FDA-approved formulations

Any degree of haziness, cloudiness, or opacity is not fine

Orforglipron also looks promising as a diabetes treatment

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