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This results in a deficiency of dopamine, leading to involuntary, uncontrollable movements including tremors, muscle stiffness, and difficulty with balance and coordination

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END STAGE RENAL PATIENTS ON HEMODIALYSIS Intravenous solution: Initial dose: 10 to 20 mg/kg as a slow 2 to 3 minute bolus injection into the venous return line after each dialysis session Consider therapy for pre-dialysis trough levels of plasma carnitine below normal (40 to 50 micromol/L)

They see a prescription for Ozempic without a corresponding diabetes diagnosis code and their system automatically flags it for denial

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