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This article provides guidelines on how to safely switch from Ozempic to Mounjaro or vice versa, what starting doses may look like, and what type of monitoring is needed during the transition

Abbreviations ALT alanine transaminase AST aspartate transaminase CGM continuous glucose monitoring CIPO chronic intestinal pseudo-obstruction CT computed tomography GGT -glutamyl transferase GH growth hormone GIP glucose-dependent insulinotropic polypeptide GLP-1 RA glucagon-like peptide 1 receptor agonist HbA 1c glycated hemoglobin A 1c IGF-1 insulin-like growth factor-1 Contributor Information Mariangela Caporusso, Endocrinology Unit, Regional General Hospital Francesco Miulli, Acquaviva delle Fonti, IT 70021 Bari, Italy

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Slowly push the plunger to the 0.5-mL line, and pull the syringe out

But when combined with other glucose-lowering factors, including alcohol, that risk increases substantially