Practice Management
As of December 3, 2025, the Food and Drug Administration, Centers for Disease Control and Prevention, and several state health authorities have reported a total of 39 suspected or confirmed cases of infant botulism across 18 states, attributed to ByHeart baby formula sold in retail stores. Preliminary testing in California found multiple lots of formula contaminated with Clostridium botulinum type A. The 39 infants have been hospitalized, and no deaths have been reported. Onset of …
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In a post-hoc analysis of a trial that measured weight gain and cardiometabolic factors among participants who used tirzepatide for 36 weeks, researchers found that among participants with obesity who stopped tirzepatide, a large majority had regained much of their weight—and that majority also lost more of the cardiometabolic benefits compared to those who maintained their weight reduction. In other words, those who did not keep the weight off after stopping tirzepatide also lost the …
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Pertussis Deaths Rise, New PCR Test Receives Approval Three infants in Kentucky have died of pertussis this year, including 1 death last week, according to public health officials. None of the infants or their mothers had been vaccinated. As of November 19, 2025, there have been 566 cases of pertussis in the state with additional cases anticipated by the end of the year. Texas has reported the most activity this year with at least 3,500 …
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Not surprisingly, seasonal influenza activity is increasing nationwide, primarily among children and young adults. The Centers for Disease Control and Prevention’s most recent FluView dashboard reports a 5% rate of positivity for the week ending November 22, 2025, up from 2.9% the week before. Overall, activity is low, however, of the influenza A cases subtyped, H3N2 accounted for 82.3% of them. There is some concern over a variant of H3N2 called subclade K, which is …
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The Food and Drug Administration (FDA) recently authorized a new formulation of ranitidine (formerly sold as Zantac) more than 5 years after the agency called for all versions of the drug to be withdrawn because of concerns that it could degrade into a carcinogenic compound. According to the agency, it has now approved VKT Pharma’s 150-mg and 300-mg ranitidine tablets after extensive safety testing and manufacturing improvements. There are also updated, more stringent storage instructions. …
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Authorization rules released in Iowa over the summer now provide for an expanded scope of practice for pharmacists in the state, allowing them to diagnose low-risk health conditions, order labs, and prescribe medication. As a result, the Wells Hometown Drug retail pharmacy in Bloomfield, Iowa, recently opened its new walk-in clinic, led by a pharmacist who is able to see patients 6 years and older without physician oversight. The pharmacist-led model was enabled by Iowa’s …
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Just as more evidence is emerging that supports exposure to peanuts for young children as a way to avoid future peanut allergies, a study presented at the Annual Scientific Meeting of the American College of Allergy, Asthma and Immunology (ACAAI) found that an epicutaneous patch continued to build peanut tolerance over 3 years, according to a press release. The immunotherapy patch delivers small amounts of peanut protein through the skin, slowly building tolerance and reducing …
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Use of glucagon-like peptide-1 receptor agonists (GLP-1RAs) may be associated with chronic cough, as published in JAMA Otolaryngology–Head & Neck Surgery. A large study of more than 2 million people with type 2 diabetes across 70 healthcare organizations suggests that adults prescribed a GLP-1RA had a 12% higher risk for developing a new cough persisting for more than 8 weeks, compared with people prescribed other medications, including dipeptidyl peptidase-4 (DPP-4) inhibitors, sodium-glucose cotransporter 2 (SGLT2) …
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A 7‑year‑old male presents to the urgent‑care clinic with left‑knee pain that began after gym class and has gradually worsened over the past several weeks. The mother reports no significant trauma and notes that the pain improves with rest. Physical examination reveals a slightly overweight child with a visible bowing deformity just distal to the knee. The patient demonstrates a full range of motion and normal knee strength, and no bony tenderness, effusion, or laxity …
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Urgent Message: Pediatric patients frequently present to urgent care with musculoskeletal complaints, but clinicians must remain aware of the less common surgical and medical emergencies that can present with these symptoms. Key Words: Slipped Capital Femoral Epiphysis; Pediatric Limp; Antalgic Gait; Obesity; Urgent Care Diagnosis Abstract Clinical Presentation: A 13-year-old male presented to a pediatric urgent care with the chief complaint of left calf pain for a month that had acutely worsened over the past …
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