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Mounjaro (tirzepatide) can cause lightheadedness through dehydration from reduced food and fluid intake, blood pressure changes from weight loss (particularly in patients taking antihypertensive medications), or low blood sugar when combined with insulin or sulfonylureas

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Hydration status significantly affects bioelectrical impedance results, so testing first thing in the morning before eating or drinking produces the most consistent readings

For example, if Drug A provides the PBM with a $100 rebate, and its competitor Drug B provides a $200 rebate, the PBM may place Drug B in the first tier of its formulary and charge the patient a $5 copay, with Drug A placed in the second tier and the patient charged a $10 copay