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PGBH should initially be treated with a high-protein, high-fiber, low-carbohydrate diet and then, if hypoglycemia persists, by medication (initially acarbose, then a calcium channel blocker and octreotide or diazoxide or both)

For example, your healthcare provider may need to document that you have lost at least 5% of your baseline body weight after one year

Treatment should be discontinued if pancreatitis is suspected

These symptoms require prompt evaluation, regardless of which medication or supplement someone believes they used

If cost is the primary constraint and your insurance covers liraglutide but not tirzepatide, and compounded tirzepatide is not available or preferred, then liraglutide provides proven efficacy at an accessible price point