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the label allows shifting the day as long as doses are at least 48 hours apart
Most endocrinologists nowadays do understand that people with type 1 diabetes not everyone, but some, would benefit from a second medication along with their insulin

In contrast, gelatin MN patches provide a more direct and effective treatment by locally acting on subcutaneous adipose tissue

So, it would be useful to see what age groups getting onto these drugs are developing acne. For patients who are on the medication and develop acne, but are advised against stopping the GLP-1RAs, Dr Kadam had this advice: Optimise topical acne treatment, encourage good skin hygiene, avoid any potential food triggers and reserve systemic medications for refractory cases. Journal of the American Academy of Dermatology 2025, online 7 February

Inhibition of dipeptidyl peptidase-4 impairs ventricular function and promotes cardiac fibrosis in high fat-fed diabetic mice
