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It suggested metformin as the first-line glucose-lowering pharmacotherapy and when metformin alone is insufficient for achieving glycemic control, any of sulfonylureas, thiazolidindediones, DPP-4 inhibitors, GLP-1 receptor agonists, or insulin could be added

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PMHNPs: State-Dependent, Often Requires Physician Collaboration Psychiatric Nurse Practitioners face a more complex landscape: Full Practice Authority (FPA) States (~24 states + D.C.): PMHNPs can prescribe weight-loss medications independently if they meet state criteria

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Hanai T, Shiraki M, Watanabe S, et al

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Acetaldehyde-induced increase in paracellular permeability in Caco-2 cell monolayer

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