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Review Whether Continued Medication Makes Sense Some patients may do best continuing Semaglutide or Tirzepatide at a clinically appropriate maintenance dose

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EDC Vaginal C-Section Lab/Pathology Radiology/ Imaging Therapy: Indicate # of visits Physical Cardiac Rehab Speech Occupational Visits/Week Clinical information attached: Y / N PHYSICIAN SIGNATURE- # of pages The information contained in this form is privileged and confidential and is only for the use of the individual or entities named on this form

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2026;49(Suppl.1):S1-S5

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