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This decision should be individualized based on your specific clinical context and treatment goals

Appetite control: hormones or diet strategies

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Quality and contamination concerns are important considerations
Compared to the use of GLP1-RAs alone, the combination of SGLT2is and GLP1-RAs was associated with a 30% reduction in the risk of MACE, with rates of 7.0 versus 10.3 events per 1000 person-years (HR 0.70

Diabetes UK