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The pullback has led to chaos and confusion in states that have expanded their Medicaid programs, with both liberal and conservative leaders worried that the shift will upend multibillion-dollar investments already underway
Some people see small changes in days
[24] [25] For patients with heart failure or chronic kidney disease, SGLT2 inhibitors are generally preferred, with GLP-1 agonists considered when SGLT2 inhibitors are not appropriate or for additional benefit
One practical consideration: antibiotics can worsen GI symptoms in some people, and if you are already dealing with semaglutide-related nausea or diarrhea, this overlap can be uncomfortable
The cardiovascular data were even more striking
Larger volumes are easier to read on a syringe
