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Collaboration between a nephrologist and an endocrinologist is crucial before starting treatment

Code 64B15-14.004): BMI 30 or 25 + comorbidity Comprehensive exam (can be delegated to APRN/PA) Written informed consent + Weight-Loss Consumer Bill of Rights Follow-ups every 3 months minimum PDMP (E-FORCSE) check before each controlled substance Rx Telehealth: Controlled substances CANNOT be prescribed via telehealth (except psychiatric disorders, inpatient, addiction treatment) Weight loss not on exception list phentermine via telehealth is illegal in FL GLP-1s (non-controlled) CAN be prescribed via telehealth with proper exam Out-of-state providers must register with FL Dept of Health Bottom line: Florida is the most restrictive state

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7% in the triple therapy arm ( p = 0.04)