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Whether indefinite use of a GLP-1 agonist is safe and appropriate is still being debated

Comedones and microcysts are usually absent, but when present, they are secondary lesions [1]

Consistently using the same spot can lead to lipohypertrophy, a buildup of fatty tissue, which can impair absorption

A 67 year old female is on the following medications: Aspirin 81 mg daily Lisinopril 5 mg daily Carafate 1 gm four times daily Omeprazole 40 mg daily Metformin 1000 mg twice daily Actos 15 mg daily Paroxetine 20 mg daily Valproic acid 250 mg twice daily Percocet 5/325 mg four times daily as needed Senna 2 tablets at bedtime B12 injection q month Amlodipine 5 mg daily Tylenol 1,000 mg three times daily The first thing that caught my eye was that this patient apparently has or had B12 deficiency with the monthly supplementation