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Nat Med 2022;28:208391

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Both are contraindicated with personal/family history of medullary thyroid carcinoma or MEN2

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ADA Recommendations for GLP-1 RA in T2DM Patients The GLP-1 receptor agonists, with or without metformin based on glycemic needs, are appropriate initial therapy for patients with type 2 diabetes mellitus (T2DM) with or at high risk for atherosclerotic cardiovascular disease (ASCVD)/indicators of high-risk, heart failure (HF), or chronic kidney disease (CKD)

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Furthermore, Jensterle et al.in another study demonstrated that liraglutide 3.0 mg/day was more effective in reducing BMI and WC in PCOS patients with obesity than the combination of metformin 1000 mg BID + liraglutide at low doses (1.2 mg/day), that has hitherto been considered one of the more promising treatment [63]

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It should be noted, however, that oral semaglutide does require care upon administration to ensure proper absorption

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