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If your primary care physician is not comfortable prescribing GLP-1 medications, ask for a referral to an endocrinologist or a board-certified obesity medicine specialist
Described as a disorder of glucose homeostasis and insulin sensitivity, it is primarily triggered by uncontrolled hyperglycemia, and it is responsible for a large number of microvascular (like diabetic retinopathy, diabetic nephropathy, and diabetic neuropathy) and macrovascular complications (like diabetic foot syndrome, cerebrovascular events, and myocardial infarction) [5]
L-carnitine is generally well tolerated by healthy adults, but "generally" isn't "everyone," and your situation is yours
Its important to note that while semaglutide aids in weight loss, its most effective when paired with a balanced diet and regular exercise
PBMs also frequently use step therapy, encouraging patients to start with lifestyle interventions and nutrition support before receiving GLP-1 medications
