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However, dedicated kidney outcome trials for GLP-1 receptor agonists remain limited, and further long-term studies are needed to better define their role in CKD management

doi:10.1016/S0140-6736(23)01302-8 99

Lilly will continue to pursue legal remedies against those who falsely claim their products are Mounjaro, Zepbound, or FDA-approved tirzepatide, including certain med-spas, wellness centers, online retailers, and compounding pharmacies. Simply put, the Big Pharma lobby is strong, the lawyers are ready and waiting, and were talking about the most commercialize-able drug in history

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Example : If your A1C is 7.2% and you've never tried metformin, expect a denial even with a valid diabetes diagnosis