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It is what good clinical judgment has always required: patient selection, transparent informed consent about the state of the evidence, quality sourcing standards, systematic outcome tracking, and a willingness to update your position as the data matures

First, properly enroll in Medicare

I am worried that I am going to damage the hip by not having the surgery, but I am equally worried that having the surgery means I am condemning myself to a long recovery, pain that may not be any better than it was prior to the surgery and an eventual hip replacement

However, gastrointestinal side effects, such as nausea, vomiting, and diarrhoea have been reported with GLP-1RAs, and were a common cause of treatment discontinuation in clinical trials [10], [11]