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avoid during breastfeeding [10] [11] Long-term safety data for off-label use in inflammatory conditions is absent Suspected adverse reactions should be reported via the MHRA Yellow Card scheme (yellowcard.mhra.gov.uk or the Yellow Card app)

Eligible clinicians who do not become QPs but meet a lower threshold requirement to become Partial QPs for the year may elect to (or not to) report to MIPS

Its effects are broad and impactful on whole-body metabolism, particularly in relation to fat mass reduction and glycemic management

Common Concerns: Cost, Access, and Side Effect Management Many patients avoid traditional medical channels due to cost, gatekeeping, or appointment delays