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An estimated 0.8% of of 17.3 million clinic visits by women 18 yrs and older for urinary tract symptoms including neurogenic bladder & urinary retention between 2003-2013 were prescribed bethanechol (132,281 patients over 10 yrs) (Gaitonde et al, 2019)

Usage Cited in: Int J Mol Med

Practical strategies to minimise gastrointestinal side effects include: Eating smaller, more frequent meals rather than large portions Avoiding high-fat, spicy, or heavily processed foods that may exacerbate nausea Staying well hydrated, particularly if experiencing vomiting or diarrhoea Taking escitalopram with food if nausea occurs Allowing adequate time between dose escalations of Mounjaro Regular monitoring should encompass both diabetes control and mental health status

Typically, prescribing Mounjaro requires a documented diagnosis, such as an A1C lab result of 6.5 or higher

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