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This decision should always be made with clinical guidance

It combines FDA-approved medications with real clinical oversight and behavioral support which is something most telehealth platforms dont offer together

Renal function monitoring may be considered for patients on Mounjaro who have pre-existing kidney disease or who develop severe gastrointestinal adverse reactions, as dehydration can precipitate acute kidney injury in vulnerable individuals

Methodologies, limitations, and citations are also available in the full report

Blood-brain barrier disruption means the vascular wall separating blood from brain tissue becomes leaky, allowing inflammatory and fluid shifts that can worsen injury