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"Excluded Drug Reference File FAQ." cms.gov (PDF)

Tirzepatide : Helps manage blood sugar and reduce appetite

If you are already taking a GLP-1-based medicine and experience any concerning symptoms such as persistent nausea or vomiting, severe or persistent abdominal pain (which may sometimes radiate to the back and could indicate pancreatitis), rapid heart rate, or signs of an allergic reaction you should contact your GP promptly or call 999 / attend an emergency department if symptoms are severe

Journal of Cardiovascular Medicine (Hagerstown, Md.), 8 Suppl 1 , S42S45

Diabetic patients or those who are taking medications to improve cardiovascular or kidney health should take medications as prescribed

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