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Treatment may also include some novel interventions that are invasive, whether they be gastric pacemakers or surgical and some research medicines

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Other contributing factors include medication interactions (certain psychiatric medications, corticosteroids, and reduced exposure to oral contraceptives during dose escalation), hormonal changes (thyroid dysfunction, menopause), inadequate sleep (less than 7 hours nightly), chronic stress with elevated cortisol, and reduced physical activity as patients become more comfortable at their current weight

"This is a bit out of our scope," Cella said, when asked if the association had addressed the topic of telehealth providers and GLP-1 prescriptions

However, some Trulicity patients claim they have experienced concerning gastrointestinal problems, including bowel obstructions, pancreatitis, and gastroparesis

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