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Is switching the patient to one tablet of Synjardy XR (metformin/empagliflozin) 12.5 mg once daily appropriate to prevent a 2000 mg metformin dose, now that she is starting tirzepatide (Mounjaro) this week?

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What are the implications of elevated creatinine (0.52) and hyperkalemia (potassium 5.5) in a patient taking Lexapro (escitalopram) and Zepbound ( tirzepatide)?

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