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I counselled Dr Aaron Lazorwitz (Complex Family Planning OBGYN at Yale), looked up drug labels and literature to find the answers

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Ozempic was the most revolutionary of the medications I tried, Jervey said

Precautions: As with all diabetes medications, individuals with history of pancreatitis should use linagliptin with caution, as there have been reports of pancreatitis associated with DPP -4 inhibitors [11]

Anaesthetics and opioid painkillers can slow bowel activity, and restarting Mounjaro too soon can amplify that sluggishness, leading to nausea, constipation, or dehydration

This distinction is crucial for appropriate clinical investigation and management