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Documentation must include HbA1c values, glucose logs, and the prescribing clinicians clinical rationale for transitioning to pump therapy

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If the nausea is too bothersome or severe, the healthcare provider may decide to lower the dose temporarily until the side effects become manageable

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During this critical period, intestinal development occurs rapidly, and the chicks undergo a metabolic and physiological shift from the utilization of egg nutrients to exogenous feed

In these cases, provider evaluation must address whether baseline thyroid function is stable, TSH is well-controlled, and whether introducing a GLP-1 agent poses any incremental autoimmune risk for that individual