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Cardiology referral is appropriate for patients with abnormal ECG findings, structural heart disease, recurrent syncope, or sustained/worsening palpitations despite initial management

Dose escalation and dry mouth flares Each time you increase your dose, dry mouth may temporarily worsen

Prevent it from getting contaminated as water can generate chemical reactions in it

MS medications often include interferons, monoclonal antibodies, or immunosuppressants that could theoretically interact with GLP-1 agonists, though clinical data specifically examining this overlap remains limited

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