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Dr. Brigitte Ouabo on Instagram: "S: Patient on Mounjaro 5 mg weekly, insulin glargine 21 units nightly, Apidra with meals, metformin 1000 mg BID, and Farxiga 10 mg daily. Reports significant fatigue but says it is tolerable. Notes less appetite suppression at 5 mg compared to when first starting, making it harder to manage meal portions. O: • A1c improved from 9.7% → 7.8% • CGM: Avg glucose ~165 mg/dL, GMI 7.4% • Time in Range: 71% (goal ≥70%) • Still ~29% readings >180 mg/dL, mostly post-meal