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The key is ensuring competence: Take CME courses in obesity medicine (60+ hours for ABOM certification) Understand when to refer (e.g., suspected Cushings syndrome, complex endocrine issues) Collaborate with primary care when appropriate Document that the intervention is part of comprehensive patient care If youre treating a patients depression and their olanzapine-induced 40-pound weight gain is worsening that depression, prescribing a GLP-1 isnt scope creep its integrated psychiatry

Weve seen websites sell B12 without clear documentation or quality control, and some appear to source it from Alibaba.com

Terwilliger, T

Patients looking for the best possible weight loss effects when taking a GLP-1 are likely to get better results with Ozempic rather than Trulicity