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Let your provider know if you have any severe pain or discomfort

Both medications are injectable GLP-1 receptor agonists used for type 2 diabetes management and weight loss, but they have several important differences: Mounjaro (tirzepatide) : Functions as both a GIP and GLP-1 receptor agonist, targeting two hormone pathways Ozempic (semaglutide) : Works solely as a GLP-1 receptor agonist, targeting one hormone pathway Based on the Phase 3 SURPASS-2 clinical study: Mounjaro : Approved for type 2 diabetes Ozempic : Approved for: Mounjaro : Ozempic : For expats and travelers in Mexico, both medications require a prescription, but Mounjaro may be preferred by those seeking more significant weight loss or better glycemic control

Do not self-treat with injections

It also modulates nitric oxide signaling, which regulates blood flow and inflammatory responses

fructosamine or glycated albumin may also be considered as short-term alternatives when HbA1c is unreliable Document the timing of B12 treatment initiation in the patient's records to contextualise any HbA1c results obtained during this period This approach ensures that clinical decisions regarding diabetes diagnosis or medication adjustment are based on accurate data rather than a transiently distorted HbA1c result