$212.4 billion in 2025 dollars) spent by Medicaid on longterm care services and supports, with institutional care representing the remaining 35% 953 However, there is substantial variation across states in spending on home and communitybased services, ranging from 32% of total Medicaid longterm care services and supports in Mississippi to 84% of total Medicaid longterm care services and supports in Oregon, despite evidence demonstrating that Medicaid spending on these services reduces overall costs
A renewed focus on the association between thyroid hormones and lipid metabolism
This is a subtle but critical detail, often overlooked when researchers hastily ask, "can I reconstitute tirzepatide with normal saline?" and perhaps aren't thinking about the physical forces involved
Careful monitoring and dose adjustments may be necessary to mitigate this risk
Michael Stubblefield: Absolutely
Also, Meredith, Enoras owner, has used this same protocol to help herself personally lose weight