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Patients with insurance covering brand-name GLP-1s should consult their health plan before assuming a compounded program is financially advantageous

One study demonstrated that gluconeogenic intermediates, such as pyruvate, malate, and phosphoenolpyruvate (PEP), are neuroprotective against MPP + toxicity

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For patients on warfarin, INR monitoring may be appropriate based on clinical judgment

Dehydration Risk and Electrolyte Monitoring GLP-1 medications increase dehydration risk by reducing appetite and fluid intake