This document represents the official position of the American Association of Clinical Endocrinologists and American
College of Endocrinology. Where there were no randomized controlled trials or specific U.S. FDA labeling for issues in
clinical practice, the participating clinical experts utilized their judgment and experience. Every effort was made to achieve
consensus among the committee members. Position statements are meant to provide guidance, but they are not to be considered
prescriptive for any individual patient and cannot replace the judgment of a clinician.