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They weren't paying for these very expensive at network benefits, were actually able to give the benefit to their employees they actually wanted

Doctors are allowed to prescribe medications like this off-label, meaning for indications not specifically outlined by the FDA

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Get a 24-hour urine test

a) Insulin only b) GLP1 and GIP c) Glucagon only d) Amylin & somatostatin Answer: b) GLP1 and GIP The glucose-lowering effect is: a) Constant b) Glucose-dependent c) Hypoglycemia-prone d) Insulin-independent Answer: b) Glucose-dependent Sitagliptin is primarily excreted via: a) Feces b) Urine c) Bile d) Sweat Answer: b) Urine A rare but serious side effect is: a) Hypoglycemia b) Pancreatitis c) Hypothyroidism d) Bladder cancer Answer: b) Pancreatitis Protein binding is approximately: a) 10% b) 38% c) 80% d) 99% Answer: b) 38% DPP4 inhibitors differ from GLP1 agonists by: a) Oral vs injection b) Cost only c) Efficacy only d) Indication only Answer: a) Oral vs injection Combination with sulfonylureas increases risk of: a) Pancreatitis b) Heart failure c) Hypoglycemia d) Weight gain Answer: c) Hypoglycemia Dose scheduling is: a) Multiple times daily b) Once daily c) Every other day d) Weekly Answer: b) Once daily Sitagliptin therapy is least likely to cause: a) Hypoglycemia b) Weight gain c) Nasopharyngitis d) Pancreatitis Answer: a) Hypoglycemia Onset of action occurs within: a) Minutes b) Hours c) Days d) Weeks Answer: b) Hours Compared to saxagliptin, sitagliptin has: a) Higher potency b) Lower potency c) Similar profile d) Different mechanism Answer: c) Similar profile Sitagliptin should be dose-adjusted for: a) Liver disease b) Renal impairment c) Hypothyroidism d) Pregnancy Answer: b) Renal impairment Weight effect of sitagliptin is: a) Weight gain b) Weight loss c) Weight neutral d) Unknown Answer: c) Weight neutral Sitagliptin carries risk of heart failure