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The FDA has not indicated plans to reclassify these drugs as over-the-counter in the foreseeable future, citing the importance of professional monitoring during treatment initiation

The focus has been on the development of pre-operative and pre-procedural guidelines not on the impact of GLP-1s on IBS or sensitive guts

PLoS ONE 7 , e51898 (2012)

Assess HbA1c every 3-6 months Adjust therapy based on trends and targets 12.4 Monitoring Body Weight and Nutritional Status Weight reduction is a therapeutic goal but must be balanced against nutritional adequacy

Jastreboff AM, Kushner RF, Blundell J et al

A Novel, Widespread Impurity in Mass-Compounded Tirzepatide/B12 Products: Patient Safety Implications