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Consultations may be completed through: In-clinic visits Secure telehealth video consultation Telephone consultation when appropriate under Texas telemedicine regulations Prescriptions are issued only when medically appropriate and are always subject to: Provider discretion Review of medical history Compliance with applicable state and federal regulations PDMP (Prescription Drug Monitoring Program) review where required A prescription is not guaranteed and will only be provided if deemed appropriate by the evaluating provider

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The typical pattern is to taper retatrutide down, keep cagrilintide at maintenance (1.7-2.4 mg/week), then resume retatrutide after a 4-8 week washout