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This may or may not include vomiting

2 FIB levels were significantly lower after 8 weeks

It is approved for the treatment of moderate to severe acne, photodamaged skin and psoriasis

Monitoring may include A1C, home glucose readings, kidney function, and eye health when clinically appropriate

Alternatively, they might consider switching to a non-stimulant ADHD medication like Strattera if interactions persist

Options may include increasing your metformin dose (if not already at maximum), adding a sulfonylurea, SGLT2 inhibitor, or considering injectable therapies such as insulin or alternative GLP-1 receptor agonists if appropriate