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Similar content being viewed by others Introduction Clinical practice recommendations for the pharmacologic management of type 2 diabetes prioritise sodium-glucose cotransporter 2 (SGLT-2) inhibitors for people with comorbid heart failure (HF) or chronic kidney disease (CKD) and either glucagon-like peptide 1 (GLP-1) receptor agonists or SGLT-2 inhibitors for those with atherosclerotic cardiovascular disease (CVD) or with multiple cardiovascular risk factors [1, 2]

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Despite strong efficacy, systemic barriers like coverage gaps and high out-of-pocket costs, especially for obesity indications, continue to drive abandonment

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