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Switching between medications If one medication becomes unaffordable but another remains accessible, switching may be viable

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Lancet (2019) 394:12130

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5 Pharmacological effects of GIP, GLP-1 and their mimetics The pharmacological benefits of GIP, GLP-1, and their synthetic mimetics arise from their pleiotropic effects, encompassing at least five key functions: bolstering insulin secretion and survival of pancreatic -cells and modulating glucagon release by the pancreatic -cells in response to glycemic levels, acting on the satiety center in brain, slowing gastric emptying, regulating lipid and glucose metabolism through effects on adipose tissue and liver, and reducing systemic blood pressure

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The gut microbiome, made up of trillions of microorganisms, plays a key role in this process

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Novo was first to hit the jack pot with semaglutide, approved to treat diabetes in the UK in 2019 (as Ozempic)

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