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Foot Care Recommendation For all patients with diabetes, perform an annual comprehensive foot examination to identify risk factors predictive of ulcers and amputations

Medication is intended to be used as part of a comprehensive treatment plan that includes nutrition, physical activity, and lifestyle modification when appropriate

Glycemic safety A key concern with glucagon receptor activation is hyperglycemia

If IGF-1 remains below the age-adjusted lower quartile and the patient tolerates the dose without fluid retention or glucose elevation, increase to 100 to 150 mcg twice daily

The decision to use L-carnitine alongside Mounjaro should always be made in consultation with your GP, diabetes specialist nurse, or endocrinologist