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The most recent consensus algorithm released by the ADA/EASD lists GLP-1 analogues as a treatment option for consideration as a Tier 2 agent, or less well-validated therapy, in T2DM patients ( FIGURE 1 )
[4] [5] This multi-receptor activity distinguishes it from earlier agents such as semaglutide or tirzepatide, and is central to understanding why gastrointestinal side effects including sulphur burps and diarrhoea may occur
The standard escalation protocol starts at 0.25 mg/week and progresses through 0.5, 1.0, 1.7, and 2.4 mg/week maintenance doses
These side effects tend to stand out more if youre not eating or staying hydrated enough
It is also available as two different types of dietary supplements, Vitamin D2 and Vitamin D3
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