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Before starting or continuing combination therapy with Wegovy and Jardiance, have a comprehensive discussion with your healthcare team covering the following important areas: Your complete medical history , including: Current and previous diabetes control (HbA1c levels) Kidney function and any history of renal disease Cardiovascular conditions, including heart failure or previous heart attacks History of pancreatitis or gallbladder disease Previous episodes of diabetic ketoacidosis Diabetic retinopathy status and recent eye examinations Recurrent urinary or genital infections Any planned surgical procedures Pregnancy plans or current breastfeeding (Wegovy is contraindicated in pregnancy) Your current medication regimen : Provide a complete list of all medications, including: Other diabetes medications (insulin, sulphonylureas, metformin, etc.) Blood pressure medications, particularly diuretics Over-the-counter medications and supplements Any medications that affect kidney function Your healthcare team will assess potential interactions and may need to adjust doses or timing of other medications

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Weight loss expectations matter for treatment planning, but response variability is equally important

What happens to the need for certain fertilizers or crop chemicals

But he has also been clear: he respects people who do choose medication

Many patients stay at this dose long-term