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This classification has direct financial implications: when Z79.4 is reported accurately, it contributes to the patients risk adjustment factor (RAF) score, which influences the capitation payment the plan makes to the provider or health system
Consistent with our findings, four cohort studies found no increased risk of suicidal ideation between GLP-1 RAs and SGLT-2 inhibitors [11, 12, 28, 29]
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Taken together, the observed lack of association between the use of GLP-1 RA and suicide or suicide attempts reflects the absence of increased suicide risk, even when accounting for the acknowledged limitations
nevertheless, a few studies have reported an increased risk of suicide or suicide attempts