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My patient has Medicare Part D coverage

Temporary libido reduction during the first 2 to 6 weeks is common and typically results from gastrointestinal side effects (nausea, reduced appetite), significant caloric restriction, and metabolic adaptation

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For mild, asymptomatic increases in heart rate, a period of watchful waiting with regular monitoring may be appropriate

Retatrutide shows comparable glycemic improvements

Some research suggests these medications may cause mild vasodilation and potentially reduce systemic vascular resistance, which could trigger a compensatory increase in heart rate to maintain cardiac output and blood pressure