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However, studies show people with obesity and type 2 diabetes are more likely to have low vitamin A levels

The practical reforms are behavioral constraints: prohibiting PBMs from giving preferred formulary position to their own affiliated pharmacies, requiring that patient pharmacy choice be genuinely free without financial penalty for using non-affiliated dispensers, and mandating independent oversight of specialty pharmacy referrals

Medication review : especially SGLT2 inhibitors (genital mycotic infections), hormonal contraception/HRT (bleeding patterns), and topical irritants

Unless specifically directed by a prescribing clinician, stick with bacteriostatic water for consistency and simplicity