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Education, nutrition, coordinated support, and ongoing monitoring are all essential pieces of responsible, patient centered obesity care
Methods Adults ( 18 years old) with T2D required at least one prescription for injectable semaglutide at index date (treatment switch), at least one prescription for any other GLP-1 RA in the previous 365 days, a baseline HbA1c and/or weight measurement in the 90 days pre-index and a follow-up measurement at 180 and 365 days post-index
Expression of connexin 43 (Cx43) is critical for normal hematopoiesis
The key is ensuring competence: Take CME courses in obesity medicine (60+ hours for ABOM certification) Understand when to refer (e.g., suspected Cushings syndrome, complex endocrine issues) Collaborate with primary care when appropriate Document that the intervention is part of comprehensive patient care If youre treating a patients depression and their olanzapine-induced 40-pound weight gain is worsening that depression, prescribing a GLP-1 isnt scope creep its integrated psychiatry