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MAOIs (monoamine oxidase inhibitors) are contraindicated with both SR and XL due to the risk of dangerous blood pressure increases

However: (1) Billing starts immediately upon prescription approval, even before medication ships, (2) Billing cycle not tied to medication delivery (can be charged for 3+ weeks before receiving meds), (3) No advance notice before monthly charges (30-day notice only for prepaid plan renewals), (4) Dose escalation increases cost by $100/month but may not be clearly disclosed upfront

For a 5 mg vial + 2 mL: 5 2 = 2.5 mg/mL

Our providers see GLP-1 response patterns every week across 15 locations in MD, VA, and FL

Exceeding 50 units without a clear prescription can lead to an accidental overdose

To account for repeated measures within participants, a random intercept for each participant was included