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A 65-year-old woman with lifelong obesity, diabetes, sleep apnea, recent cancer surgery—and now, elevated LDL and BP. Where do you begin? In this episode of Case by Case, our panel dissects a highly relatable post-op metabolic patient profile and reveals how real-world prescribing decisions evolve when balancing obesity, cardiometabolic risk, and delayed access to bariatric surgery. 💊 When should you switch from dulaglutide to tirzepatide? 🧠 Do you titrate slowly for tolerance—or fast for efficacy? 🔍 And how do you defend SGLT2 inhibitors in patients with complex risk profiles like UTIs or CKD? 📚 Key Takeaways: • GLP-1 potency comparisons: dulaglutide vs. semaglutide vs. tirzepatide • When weight loss ≠ glycemic control—and how to balance both • SGLT2 side effects: myths vs. actual contraindications • Importance of not abandoning powerful therapies too soon • Pre-surgical weight loss strategies while on a waitlist 🎓 Meet the Experts: • Dr. Marie E. McDonnell (Harvard): Expert in diabetes care delivery and obesity management. • Dr. Jan N. Basile (MUSC): Cardio-renal-metabolic educator with a primary care focus. • Dr. Nihar R. Desai (Yale): Outcomes researcher and cardiologist shaping population-level strategy. 💬 “Sometimes, the problem isn’t the patient—it’s the potency of the drug.” 🩺 Register to claim CME for this panel discussion plus more: https://www.cmemeeting.org/online-cme-courses/10th-diabetes-spring-conference 👍 Like, comment, and subscribe for expert breakdowns every episode. ________________________________________

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