Because GLP-1s are not Schedule IV controlled substances, no DEA registration is required to prescribe the GLP-1 itself (a DEA registration is still required to prescribe other controlled substances the practice uses, such as buprenorphine in addiction settings or stimulants for off-label use)
Miralax is preferred because it is an osmotic laxative that softens stool with water instead of adding physical bulk that a slowed digestive tract might struggle to move
This helps you feel fuller for longer periods and reduces the urge to snack between meals

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A proper medical evaluation is required