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Sequential initiation may facilitate clearer attribution of adverse effects and metabolic changes to specific medications

Most patients achieve their desired results with a single treatment per area

While these products do allow patients to avoid self-injections, they are associated with gastrointestinal inflammations and subsequent adverse effects

Retatrutide is an investigational medication being studied as a triple hormone receptor agonist targeting GIP, GLP-1, and glucagon receptors

one MD can collaborate with 4 NPs Physician Requirements: Prescription blanks must include both CRNP name and collaborating physician name Physician must review sample of charts regularly Weight-Loss Prescribing: No PA-specific obesity drug rules Follow standard of care Collaborative agreement should specify authority to prescribe weight-loss meds Telehealth: Relatively open to telehealth No comprehensive parity statute (yet) Act 69 (2020): Tele-mental health payment parity No state restrictions on controlled substance prescribing via telehealth Medicaid reimburses telehealth Bottom line: PA requires physician collaboration for all NPs