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Dehydration GLP-1 medications can cause dehydration through reduced fluid intake (you are simply drinking less) and increased fluid loss (particularly if GI side effects are present)

Telemedicine Practice Standards States Regulate: Consultation Requirements: Some states require live video or phone (not just messaging) Others allow asynchronous (message-based) consultations Documentation requirements vary Patient consent forms differ Prescribing Standards: What can be prescribed via telehealth Whether initial in-person visit required (rare for weight loss now) Documentation needed in medical record Follow-up requirements Examples of State Variations: More Restrictive States: May require video consultation (not just questionnaire) Additional documentation requirements More stringent informed consent Limitations on initial prescribing More Permissive States: Allow asynchronous consultations Streamlined documentation Fewer restrictions on telehealth prescribing Legitimate providers comply with each states specific requirements

however, in breast cancers, the relationship provides some relevance [33]

Telehealth platforms with compounding pharmacy partnerships Several telehealth platforms connect patients with licensed providers who can prescribe compounded tirzepatide and partner with vetted compounding pharmacies