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As a naturally occurring chemical, GHRH derives from the hypothalamus, an area of the brain that coordinates the bodily system (i.e., the endocrine system) responsible for controlling just about every important function needed for internal stability growth, energy, metabolism, and reproduction, as well as responses to injury, stress, and mood.4 5 True to its name, GHRH causes the pituitary gland to release growth hormone

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Additional E11 codes may be appropriate depending on the patient clinical picture: E11.21 - Type 2 diabetes mellitus with diabetic nephropathy E11.36 - Type 2 diabetes mellitus with diabetic cataract E11.40 - Type 2 diabetes mellitus with diabetic neuropathy, unspecified E11.51 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene Listing all applicable diabetes complication codes strengthens the medical necessity case and helps justify tirzepatide over less expensive alternatives