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Important issues to review include nausea, vomiting, constipation, diarrhea, reflux, hydration status, protein intake, muscle preservation, diabetes medications, gallbladder symptoms, kidney function, history of pancreatitis, thyroid and family history considerations, and long-term maintenance strategy

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This may give some readers pause if theyre familiar with lithium as used for psychiatric disorders, namely major depression and bipolar disorder

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Most standard PBM contracts include audit rights that are narrowly scoped: the employer can audit claims data, but typically cannot audit whether rebates were fully disclosed, cannot see the manufacturer rebate contracts, and cannot independently verify spread pricing without sophisticated actuarial support