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Medicaid Medicaid is a collaborative program between states and the federal government

When the body consumes fewer calories than it burns, physiological changes including shifts in stress hormones, electrolyte levels, and blood glucose can affect the cardiovascular system, sometimes causing a racing, fluttering, or irregular heartbeat

Alternatives might include switching to a different GLP-1 medication (some patients tolerate one better than another despite similar mechanisms), reducing the maintenance dose to a level that produces fewer GI effects while still providing benefit, or transitioning to tirzepatide or another agent in the class

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