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NEVHC, along with our community clinic partners at the California Primary Care Association, is asking the legislature to reverse the elimination of the PPS for state-only Medi-Cal populations or, at a minimum, delay implementation to 2028

This happens because the medication affects the reward centers of the brain

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Combining them could result in additive gastrointestinal side effects and would be considered off-label use requiring specialist supervision

Maintenance: If blood sugar is not controlled, the doctor may increase the dose to 1 mg or a maximum of 2 mg weekly