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How Cleveland Care Clinic May Use This Option Patient Evaluation Full medical history, labs, comorbid conditions, contraindications screening Informed Consent & Shared Decision Discussion of pros, uncertainties, and monitoring plan Personalized Dosing Plan Titrating dose carefully to balance efficacy and tolerability Comprehensive Support Dietary, behavioral, activity coaching alongside injection therapy Regular Monitoring Tracking metabolic markers, side effects, weight, body composition Adjustment or Transition If compounded therapy is not ideal long-term, transition to FDA-approved alternatives when feasible Who Might Be a Candidate

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Sixth, the medication has not expired

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Key Takeaway: Metformin focuses on reducing the sugar your liver makes and improving insulin sensitivity, while Wegovy focuses on appetite regulation and slowing digestion to help you eat less

May be administered in the thigh, the abdomen, or in the upper arm