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What is the recommended management for a 57yearold woman with type 2 diabetes, insulin resistance, hyperlipidemia, hypertension, and autoimmune thyroiditis who, after increasing semaglutide (Wegovy) to 1 mg weekly, reports decreased muscle mass and skin laxity, seeks guidance on protein intake and resistance training, needs postoperative wrist/carpal tunnel scar care, and has a small raised whitish facial lesion likely milia?

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These include vomiting, nausea, and diarrhea

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Tirzepatide with niacinamide Tirzepatide with niacinamide targets metabolic health and skin support