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Severe vomiting that prevents you from keeping fluids down, signs of dehydration, severe abdominal pain, or persistent high fever should be reported to your healthcare provider right away
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An important update: after the FDA declared the semaglutide and tirzepatide shortages resolved in 2024 and 2025, mass compounding under the shortage provisions wound down
Hydration keeps skin elastic and allows it to shed pigmented cells naturally
Implications for practice Most of the people we support with type 2 diabetes and CKD will already have received optimal therapy with the highest tolerated and licensed dose of ACE inhibitor/ARB and an SGLT2 inhibitor, and many will also be prescribed finerenone
