Gastroenterology 168(1):184185 Singh S, Chandan S, Dahiya DS, Aswath G, Ramai D, Maida M, Anderloni A, Muscatiello N, Facciorusso A (2024) Impact of GLP-1 receptor agonists in gastrointestinal endoscopy: an updated review
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
[Google Scholar] Chu AG, Gunsolly BL, Summers RW, Alexander B, McChesney C, and Tanna VL (1983) Trazodone and liver toxicity
Dietary Guidelines for Americans
Global Prevalence [Ref] Approximately 25% of the global population carries the MTHFR C677T mutation
This is consistent with established clinical guidance, including FDA recommendations and psychiatric practice guidelines, which emphasize immediate mental-health evaluation when suicidal ideation or significant psychological distress is present