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Not all patients are candidates for therapy

The MDL covers Ozempic, Wegovy, Mounjaro, Rybelsus, Trulicity, Zepbound, Saxenda, and Victoza

Weight loss interventions in womenparticularly postmenopausal womenare associated with changes in sex hormone profiles, including reductions in circulating oestrogens and changes in sex hormone-binding globulin in controlled trial settings

JMs background metformin was continued As stressed in the ADA Standards of Care, metformin remains the recommended first-line pharmacologic therapy in patients with T2D and should be continued with the addition of other glucose-lowering therapies in those who can tolerate and do not have a contraindication to metformin therapy

Although GLP-1RAs can reduce inflammatory signaling, this effect does not necessarily ensure that precursor inflow remains proportionate to ongoing NAD turnover [75, 105]
