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Since 2022, the American Diabetes Association has updated its Standards of Care to recommend GLP1 receptor agonists as a firstline therapy for T2D 2 , eroding older and cheaper generics like metformin, which marks a momentous and fundamental change in treatment
True, lasting change requires understanding whats happening beneath the surfacehormones, thyroid balance, gut health, inflammation, sleep, stress, and daily habits all play a role
If gastrointestinal symptoms are problematic, your provider may recommend delaying dose increases, temporarily reducing your dose, or holding treatment briefly while symptoms improve
Common complaints include nausea, vomiting, and sometimes diarrhea or constipation
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