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Implement sleep hygiene fundamentals: maintain a consistent bedtime (within 30 minutes each night), keep your bedroom temperature at 65-68F (18-20C), eliminate blue light 90 minutes before sleep, and avoid caffeine after 2 PM

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(See also Side Effects section.) Your doctor may need to adjust your diabetes medication, exercise program, or diet

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Transition phase (discontinuationwashoutstabilization): strictly implement clearance times based on drug characteristicsdiscontinue semaglutide for 2 months, tirzepatide for at least 1 month (161), and long-acting formulations like exenatide for at least 3 months (153, 158, 159, 162)

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