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Exendin-4, at least in Engs diabetic mice, caused blood glucose to drop to a normal level and stay there for hours, sometimes even for more than a day

This allows time to confirm that the lower dose does not reduce milk supply, cause problematic nausea, or interfere with adequate caloric intake

But it can be a useful boost when paired with a protein shake or enjoyed alongside lunch

These criteria can vary slightly by state and specific plan

Heres what typically gets tested: A1C (hemoglobin A1C): Shows average blood sugar over the past 23 months, helping identify prediabetes or diabetes that could affect how GLP-1 medications work

Adding tirzepatide, which can cause dehydration through reduced food and fluid intake, creates conditions where cardiovascular monitoring becomes even more important