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Surgery, catheter-based options, and medical therapy can treat group 4s chronic blood clots in the lung, followed by lifetime use of blood thinners

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For type 2 diabetes specifically, the American Diabetes Association's 2024 Standards of Care note: "For patients with type 2 diabetes who have established cardiovascular disease or indicators of high cardiovascular risk, a GLP-1 receptor agonist with demonstrated cardiovascular benefit is recommended as part of the glucose-lowering regimen independent of baseline HbA1c." [3] That language from a named guideline document can be quoted verbatim in a PA letter or appeal to BCBSNC

Insulin resistance in tissues including the liver, skeletal muscle, and adipose tissue is an early step in the progression towards type 2 diabetes