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Tirzepatide may make oral contraceptives less effective

Vitamin D can come in several forms

B12 is naturally available only in animal proteins, so people who eat vegetarian or vegan diets may not consume enough B12

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Prescriptions must be issued by a primary care physician or licensed medical doctor practicing within the USA only

The commenter emphasized that facilities cannot afford to allocate adequate time to meet patient demand when losing several hundred dollars per case, leading to ASCs limiting retina cases or suspending the service entirely, ultimately moving cases to higher-cost settings contrary to CMS's goal of providing care in the most cost-effective setting