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Common reasons include previous intolerance to GLP-1 medications, GI sensitivity concerns , desire for gradual weight loss to minimize loose skin, or interest in metabolic benefits before significant appetite suppression

Diabetologia 50:11481155 Fonseca V, Baron M, Shao Q, Dejager S (2008) Sustained efficacy and reduced hypoglycemia during one year of treatment with vildagliptin added to insulin in patients with type 2 diabetes mellitus

These medications have changed the conversation around weight loss and type 2 diabetes, but if you live with thyroid disease, the questions are more complicated: Are they safe

The supplement comes packed in a plastic bottle that is made of food-safety graded HDPE

Oral formulations also exist, giving patients who dislike injections an alternative route