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Victoza works by helping the body make more insulin (to help lower blood sugar levels) and less glucagon (because glucagon increases blood sugar)

42 The mechanisms of these complex effects are still being elucidated, and it is unclear whether there is a direct effect via GLP-1 receptors in bone cells or indirect effects mediated through the gut

Most patients on the out-of-pocket pathway either transition to a maintenance strategy (lower dose, less frequent injections) after initial weight loss or switch to compounded alternatives