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Expert reports are written statements from expert witnesses

Starting with tirzepatide at conservative doses provides a safer entry point for this population

This will save state taxpayers millions of dollars annually and ensure that coverage is prioritized for Medicaid recipients who need GLP-1s the most.

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If standard doses are not tolerated, clinically appropriate alternatives might include slower titration (still within SmPC guidelines), switching to a different GLP-1 receptor agonist, considering other medication classes, enhancing diet/lifestyle support, or specialist review