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For a patient like this, with prediabetes quickly evolving into diabetes and with troubling arthritis pain, waiting out the shortage of Zepbound wasnt an option in my mind

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Calcium carbonate requires gastric acid for absorption however proton pump inhibitors such as esomeprazole, lansoprazole, omeprazole, pantoprazole and rabeprazole reduce gastric acid availability and therefore decrease calcium absorption, consequently calcium citrate preferred option as a calcium supplement as gastric acid not required for its absorption

This helps prevent oxidative damage to cellular components, including proteins, lipids, and DNA

The Bridge program is unique in that it offers a predictable $50 copayment that does not go up as dosages increase