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10.1016/j.plipres.2008.08.001 49 NatividadJ

Journal of the American College of Cardiology, 12 July 2022

Glucagon-like peptide-1 receptor agonists (GLP-1RAs)have emerged as a promising class of antidiabetic agents with potential cardiovascular benefits 3

Yes, if tirzepatide remains ineffective after optimization of dose, adherence, and lifestyle factors, switching to alternative GLP-1 receptor agonists like semaglutide or adding complementary diabetes medications may be appropriate

That model is legitimate its how real telemedicine has always worked but it also means the $99 fee is committed before the patient has the chance to see whether their history would disqualify them from treatment