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Description
Subgroup analysis of phase 3 studies of dulaglutide in Japanese patients with type 2 diabetes
In 2022 and 2023, compounded semaglutide and tirzepatide programs expanded rapidly because both drugs were on the FDA's official shortage list - which gave compounders broad legal cover to prepare and distribute them

The tirzepatide shortage was the subject of a court case initiated by the Outsourcing Facilities Association (OFA)

In the emergency department or urgent care setting, diagnostic evaluation typically includes: Serum lipase (preferred) and possibly amylase: Pancreatic enzyme levels elevated to three times the upper limit of normal support pancreatitis diagnosis Complete blood count and metabolic panel : To assess for systemic complications Abdominal imaging : Right upper quadrant ultrasound is typically performed first to evaluate for gallstones

Talk to your healthcare provider about this strategy
The dose is adjusted based on basal blood glucose level every three days (Table 1)
