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1 Evaluation and Lab Review Before any prescription, we complete a 2-hour evaluation including a focused review of your history, labs, and goals, plus diagnostic ultrasound when relevant

Additionally, diclofenac has shown potential as a physical antagonist of MCT4, further inhibiting lactate efflux

The patient should also understand the importance of returning for follow-up blood tests every 3 to 6 months to confirm adequacy of the therapy

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Monitoring drug levels of immunosuppressants may be warranted, especially during tirzepatide dose escalation