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It is a requirement straight from Eli Lilly, the manufacturer, and reinforced by the FDA prescribing information for both Mounjaro and Zepbound

(5.3) Hyperglycemia or Hypoglycemia with Changes in Insulin Regimen: Make changes to a patient's insulin regimen (e.g., insulin strength, manufacturer, type, injection site or method of administration) under close medical supervision with increased frequency of blood glucose monitoring

Glucose- and bile acid-stimulated secretion of gut hormones in the isolated perfused intestine is not impaired in diet-induced obese mice

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Endocrinology 140: 16871694, 1999

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