The patient receives injection training, a written protocol with timing and dosing instructions, and a follow-up schedule
West Texas weather adds another dimension: summer heat regularly exceeds 100 degrees, and dust storms can make outdoor activity miserable
We get into: Creating space between a feeling and an action including a near-miss with a Tesla in a downtown Toronto bike lane, and the one thing recovery gave me: the pause The "illness of superlatives" and all-or-nothing thinking Reframing addiction from the worst thing that ever happened to me into the greatest gift Why "first thought wrong" keeps showing up disguised as common sense Not buying into resentment, and letting go of outcomes trusting the author when I can't see the plan Recovery as a doing program, not a thinking one Rock bottom as a decision I've got a world of control over The one contrary action that separates the person who stays sober from the one who can't If you're struggling today, I hope one line in here lands for you
March 22, 2024 Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (CMS-4208-P) Federal Register, Centers for Medicare & Medicaid Services
| Side Effect | Semaglutide | Tirzepatide | Retatrutide | |-------------|-------------|-------------|-------------| | Nausea | Moderate (44%) | Moderate (42%) | Moderate-High (48%) | | Constipation | Common (24%) | Common (23%) | Common (26%) | | Diarrhea | Moderate (30%) | Moderate (27%) | Moderate (28%) | | Fatigue | Low (11%) | Low (10%) | Moderate (15%) | | Injection site | Low (3.2%) | Low (2.8%) | Low (3.5%) | Proper titration -- starting at the lowest dose and increasing gradually -- is the single most effective strategy for minimizing side effects across all medications
