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Ozempic and other injectable GLP-1 medications are designed to be used in combination with diet and exercise to see more significant and sustainable results

Hirsch IB, Buse JB, Leahy J, et al

However, bringing prescription medications across the border without valid Canadian prescriptions carries legal risks and is generally not advisable

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The 2020 updated ADA guidelines continue to recommend metformin as first-line therapy for all comers, with consideration of concurrent therapy with SGLTi in patients with HF or kidney disease and SGLT2i or GLP1RA in patients with predominantly atherosclerotic CVD (100)