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Subject to regulatory rules and laws that differ in the public and private sectors, PBMs carry out what plan sponsors direct them to in terms of the products they actually cover for enrollees

The release of genomic DNA after cell damage disrupts thyroid protein function and triggers inflammation (Ajjan and Weetman 2015)

Diabetes Care (2020) 43(5):108593

Instead, what we keep doing is that we look the other way, and we have no idea what happens to the patient

Common Drug Interactions with GLP-1s Prescriptions to monitor include: Thyroid meds (like levothyroxine): delayed absorption = wonky labs Oral birth control : less reliable if not absorbed well (oops!) SSRIs/SNRIs : altered absorption can lead to mood changes Fat-soluble vitamins (A, D, E, K) : need bile flow and good digestion Iron/B12 : absorption requires stomach acid, which may be reduced PPIs (Prilosec, Nexium) : when combined with GLP-1s, can severely limit nutrient uptake Over-the-Counter Medications to Watch Even common OTC meds can cause problems when combined with GLP-1s