A prospective evaluation of pegylated interferon alfa-2a therapy in patients with polycythemia vera and essential thrombocythemia with a prior splanchnic vein thrombosis
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Consider holding tirzepatide if ALT/AST exceed 3 times the upper limit of normal with symptoms, or if bilirubin exceeds 2 times the upper limit of normal, pending evaluation
This causes a host of metabolic problems, including insulin resistance
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