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These have different considerations during illness: Shorter Half-Life : Medication clears your system faster, so missing a day has more immediate effects on appetite and blood sugar (for those with diabetes)

Mounjaro has butted in a bit with coupon programs, but still only was approved by health insurers 50% of the time for off label indications

The lesions occurred in the brain (including intracerebral and intraventricular hemorrhage), heart (severe arrhythmias, congestion, and endocardial infarction), lungs (hemorrhage), and congestion in the liver, kidney, and gastrointestinal lesions