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It is crucial that prescribing clinicians review: Current thyroid function tests (TSH, free T4, free T3) Cardiovascular status and any history of arrhythmias Renal function, particularly if there are concerns about dehydration Pre-existing diabetic retinopathy, which requires close monitoring Concurrent medications and potential drug interactions Patient's ability to recognise and report symptoms of thyroid dysfunction or medication side effects Important considerations before starting Mounjaro include: Pregnancy planning: Mounjaro is not recommended during pregnancy and should be discontinued at least 1 month before a planned pregnancy Oral contraceptive effectiveness may be reduced

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Por accin de la enzima trimetil lisina dioxigenasa (TML-DO, EC 1.14.11.8) se hidroxila la posicin 3 de la TML para formar la 3-hidroxi- N 6 , N 6 -trimetil lisina ( HTML ) en presencia de oxgeno diatmico como agente oxidante, -cetoglutarato como aceptor de electrones, adems de hierro (II) y cido ascrbico como cofactores

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