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What medication should be discontinued first in a patient with type 2 diabetes (T2D) and hypoglycemia who is taking Ozempic (semaglutide), metformin (MET) 500 mg twice a day (BID), and glipizide 2.5 mg BID?

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Persistent or worsening symptoms despite dietary modifications and over-the-counter interventions lasting more than 2-3 weeks should be discussed with your prescribing clinician, as this may indicate inadequate tolerance to the current dose or the need for alternative management strategies

Keep Records: Track all vaccinations and treatments so you have a clear record of your horses health history