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Your doctor may adjust your dose, recommend reflux management, or investigate alternative diagnosesdecisions that require professional assessment rather than self-diagnosis

For example, pregnancy or planning to become pregnant often requires stopping the medication, and certain surgeries may mean pausing it temporarily

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Expect requirements for confirmed diabetes diagnosis with supporting lab work, documented failure of multiple first-line medications, prescription from specified provider types, regular reauthorization (often every 3-6 months), and ongoing documentation of treatment effectiveness

Seek medical guidance if you experience any side effects