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However, significant weight loss from Mounjaro can create some indirect hormonal effects: Reduced Peripheral Oestrogen Fat tissue produces oestrogen through a process called aromatisation
Clinicians should be aware of potential interactions with narrow therapeutic index drugs that depend on rapid absorption (e.g., oral contraceptives, levothyroxine, warfarin) and may need to adjust timing or monitoring accordingly
The code is unacceptable as a principal diagnosis
A 1,200-calorie day consisting primarily of carbohydrates differs dramatically from one emphasizing protein and healthy fats, particularly regarding satiety, muscle preservation, and glycemic control
38,39 That said, there are also reports of no significant impact of exenatide on BMD or fracture risk in T2D, 40 with subsequent meta-analyses also yielding conflicting outcomes
