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Everyone who has obesity or overweight that impacts their health and who wants treatment deserves access to it, Dr

Glucose risk: repeated lows, wide glucose swings, or appetite changes with diabetes medication

doi: 10.1371/journal.pone.0186459

Recommended starting dose: Discontinue other basal insulin and/or GLP-1 agonist before initiating Xultophy Patients nave to basal insulin or a GLP-1 agonist: starting dose is 10 units once daily Patients currently on basal insulin or a GLP-1 agonist: starting dose is 16 units once daily Maintenance: titrate dose up or down by 2 units once or twice weekly, depending on blood sugar goals Missed doses: resume dosing at the next scheduled dose

Otherwise, the pharmacy history and medication limitation rule it out