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A strong Letter of Medical Necessity goes beyond simply listing your BMI and comorbidities
The most common and accurate BCS scoring system uses a 9-point scale in which a visual and tactile evaluation of fat and muscle coverage on the dog is made over several areas of its body
[8] It is also available as the fixed-dose combinations of sitagliptin/metformin (Janumet, Janumet XR) [8] and sitagliptin/simvastatin (Juvisync)
Important safety considerations include: Gastrointestinal symptoms at higher doses Individual tolerance variability Potential for hypoglycaemia when combined with insulin or sulphonylureas Limited long-term safety data in humans Limited data in children and adolescents Patients with diabetes taking glucose-lowering medications should exercise caution when introducing allulose
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