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Practically: Strong recommendation to pursue: CME in obesity medicine (60+ hours for ABOM certification) Obesity Medicine Board Certification (ABOM) open to all physicians including psychiatrists Specialized training for NPs through organizations like American Association of Nurse Practitioners This training: Solidifies your competency if questioned Helps you navigate complex cases safely Improves patient outcomes (obesity treatment is more than just prescribing) What are the reimbursement rates for weight management visits
Taking semaglutide one day early once is generally safe, but it shortens the interval between doses and can create a temporary spike in medication levels
gastrointestinal side effects are similar to other GLP-1 agonists
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These changes also improve binding kinetics
[29, 30, 31] Risk factors: Diabetes (especially in combination with SGLT2 inhibitors use) Reduced oral intake and severe GI symptoms Dehydration Presentation: Nausea, vomiting, abdominal pain Anion gap metabolic acidosis Elevated ketones Normal or mildly elevated glucose Key point: EDKA has not been observed in non-diabetic patients in large cohort data
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