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Some pharmacies report stability data supporting up to 60 days at controlled room temperature

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This policy shift increases the likelihood that clinicians will need to document comorbid indications such as type 2 diabetes or cardiovascular disease to justify continued prescribing under covered diagnoses

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However, when combined with insulin or sulfonylureas (in patients with diabetes), the risk of low blood sugar increases significantly, which can manifest as fatigue, weakness, and other symptoms