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Realities and Expectations of GLP-1 in Japan Its important to know that GLP-1 in Japan is a prescription only treatment, and many clinics in Tokyo routinely begin with a short interview, basic checks, and a talk about goals

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Strep throat is more common in children of school age, mostly 5-15 years old, and it is relatively uncommon in children younger than 3 years of age

In a suspected case of CPT II deficiency the following are considered: (1) dextrose infusion to prevent catabolism till special milk feeds can be arranged, (2) a high carbohydrate and low-fat diet to provide substrate for glycolysis, (3) avoidance of known triggers, e.g., fasting, illness etc., (4) urgent IEM screen/genetic testing/echocardiography/and ultrasound scan of the brain and kidneys, (5) MCT supplementation, (6) intensive care monitoring, and (7) a multidisciplinary team including metabolic specialists and palliative care doctors