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Compared to traditional opinions on insulin, it may be that insulin is not the best choice for all patients with DPN, and some of these newer medications may be better choices [55, 56]

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So the lucky part is that when you're training at altitude or kind of this hypoxia induced environment, we don't have that here

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Other pharmacological options may include GLP-1 receptor agonists such as semaglutide (Wegovy), orlistat, or naltrexone/bupropion (Mysimba), though similar considerations regarding post-surgical use apply and specialist assessment is required