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All other solvents are between these two extremes

doi: 10.1177/1933719119828099

Patients should contact their healthcare provider if they experience any of the following: Seek emergency medical care immediately for: Signs of severe allergic reaction (anaphylaxis), including difficulty breathing, severe rash, or swelling of the face, lips, or throat Severe, persistent abdominal pain that may radiate to your back, with or without vomiting, which could indicate pancreatitis Symptoms of thyroid tumors, such as a lump in the neck, hoarseness, difficulty swallowing, or shortness of breath Contact your provider within 24-48 hours for: Persistent or worsening injection site reactions beyond mild, transient redness New or unusual skin rashes, blistering, or skin changes Signs of gallbladder problems, including upper right abdominal pain, fever, yellowing of skin or eyes, or clay-colored stools Symptoms of kidney problems, such as decreased urination, swelling in legs or feet, or unusual fatigue Recurrent hypoglycemia (blood glucose below 70 mg/dL), especially if taking insulin or sulfonylureas concurrently New or worsening vision changes, particularly if you have a history of diabetic retinopathy Severe, persistent vomiting or diarrhea leading to dehydration If you become pregnant while taking tirzepatide, contact your healthcare provider immediately

CMS staff acknowledged that there may be value in concurrent Model of Care review if the integrity of the National Committee for Quality Assurance review process is not compromised