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For type 2 diabetes, NICE recommends GLP-1 receptor agonists when triple oral therapy is ineffective and BMI is 35 kg/m or higher (with lower thresholds for certain ethnic groups)

[3] [5] Patients at higher risk include those in the dose-escalation phase, experiencing active gastrointestinal symptoms, on high doses, or with comorbid gastroparesis

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Higher Risk of Complications : Uncontrolled blood sugar due to gastroparesis can increase the risk of long-term diabetic complications, including kidney disease, retinopathy (eye disease), and further neuropathy

Soy protein isolate is another solid option with a strong amino acid profile, though some people prefer to limit soy intake

The fat loss isn't instantaneous