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This means there is a real risk of reduced pill effectiveness, especially during: The first four weeks after starting Mounjaro The first four weeks after any dose increase Guideline advice: Use backup contraception, such as condoms, or switch to non-oral methods like: Intrauterine devices (IUDs) Contraceptive implants Vaginal rings Contraceptive injections Patches Failing to use additional protection during these periods may increase the risk of unplanned pregnancy

While studies of flux will be required to dissect these interesting patterns, we hypothesize that PBH is characterized by enhanced lipid fuel utilization in the fasting state, but inadequate glucose fuel availability in the fed-fasted transition

Since type 2 diabetes management requires continual monitoring, it extends beyond the scope of our telehealth platform

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