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The gallbladder's primary function is bile storage and concentration, not bile production, which continues normally from the liver after cholecystectomy

Repeated insulin injections into areas of lipodystrophy or localized cutaneous amyloidosis may result in hyperglycemia

Baseline markers may include: Fasting glucose HbA1c Lipid panels Body composition measurements when available Without baseline measurements, it becomes difficult to determine whether metabolic changes are occurring or whether dose adjustments are producing meaningful effects

If the platform doesnt carry tirzepatide, that patient now has to find a new provider, complete a new intake, and restart their care from scratch

NICE TA1026 Tirzepatide (Mounjaro) for Overweight and Obesity 3
