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For type 2 diabetes, NICE-recommended alternatives include metformin (first-line), SGLT2 inhibitors, DPP-4 inhibitors, and insulin therapy, each with distinct mechanisms and side-effect profiles

Novo Nordisk-CAS Research Fund grant NNCAS-20171-CC (DY) and SA-SIBS Scholarship Program (DY)

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Decision Framework: Questions to Ask Any Provider Rather than identifying a "best" option, individuals considering semaglutide treatment should evaluate their circumstances using these questions: Medical Appropriateness Do I have any contraindications listed in prescribing information