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Patients prescribed DOACs (apixaban, rivaroxaban, edoxaban, dabigatran) require renal function monitoring at least annually, and more frequently in those aged over 75, with low body weight, intercurrent illness, or chronic kidney disease

In some cases doctors may recommend dietary changes or medications to treat underlying digestive disorders

The visit can help clarify whether medical weight loss, GLP-1 support, peptide therapy, PRP treatments, hormone evaluation, thyroid support, fatigue care, or another personalized plan may be appropriate

Patients with pre-existing cardiac arrhythmias or significant cardiovascular disease should be monitored appropriately when initiating GLP-1 therapy, though these conditions are not absolute contraindications

Carbone S, Del Buono MG, Ozemek C, Lavie CJ