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Missed Dose: If less than 5 days have passed -take the missed dose immediately

Education on recognizing early signs of cellulitis (redness, warmth, fever, rapid swelling)

Reducing dose of insulin secretagogue or insulin may be necessary

Elevated levels TMAO levels following bariatric surgery may affect metabolism

Document your weight, screen for comorbidities, attempt lifestyle modification, and consider trying currently available medications (semaglutide, tirzepatide) to establish trial-and-failure documentation for insurance
