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Description
The mechanism works through appetite suppression, delayed gastric emptying, and improved insulin sensitivity

Adhesion presentation was scored 07: 0, no adhesion
As with any treatment, however, there can be potential side effects to consider

Who should avoid this combination Individuals with a history of thyroid cancer or MEN 2 syndrome should not use tirzepatide, and therefore should not use this combination

Nonetheless, patients with underlying thrombophilia or other prothrombotic conditions must be counseled to maintain fluid intake during non-fasting hours to mitigate any hemoconcentration risk

## **What is Fosaprepitant (J1453)?** The HCPCS Code J1453 refers to Injection, fosaprepitant, 1 mg
