The matrix below covers every common scenario before we go deeper on the ones that cause the most denials
Anyone who is pregnant or breastfeeding, has a history of pancreatitis, history of gallbladder disease or gallstones, personal or family history of medullary thyroid cancer, personal or family history of multiple endocrine neoplasia syndrome type 2 (MENS2) syndrome, or anyone who has ever had an allergic reaction to semaglutide or vitamin b12 (signs and symptoms of a serious allergic reaction include swelling of face, lips, tongue, or throat, difficulty swallowing or breathing, severe rash, itching, fainting, dizziness, rapid heart rate) should avoid semaglutide
With IV protocols this isn't an issue, which is one reason we often pair glutathione with vitamin C in the same drip when clinically appropriate
Our patients appreciate the process as a relaxing break in their busy days
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