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Initial counselling Following the decision to prescribe a GLP-1RA, the patient should be counselled on injection techniques, dose titration, expected adverse effects (see Box 2) and when to seek help

This shift indicates a broader trend among insurers, where approximately 60% of plans include medications for obesity-related conditions, though stringent criteria often apply

While severe malabsorption is not common with GLP-1 RAs, these factors combined with lower intake could contribute to deficiencies over time

The complaint lays out the science behind the allegation: tirzepatide is a large peptide molecule that digestive enzymes destroy before it can reach the bloodstream
