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48 Chiu, Y.-W., Chang, J.-M., Hwang, S.-J., Tsai, J.-C

This may involve: Initiating or optimizing other glucose-lowering medications such as metformin, SGLT2 inhibitors, or other GLP-1 receptor agonists Intensifying lifestyle modifications including dietary changes and physical activity Increasing frequency of blood glucose monitoring to detect deterioration early Scheduling follow-up appointments to assess A1c levels within 3 months, per American Diabetes Association recommendations Patients using tirzepatide solely for weight management face different considerations

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Families choosing to utilize a GFCF diet should ensure adequate nutrition with particular attention to protein, vitamin D, and calcium