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Consider referral to an endocrinologist if you have an A1c 10%, experience symptomatic hyperglycemia, or have a complex insulin regimen
But because people on semaglutide or tirzepatide lose more weight in the first place, they all end up returning to baseline at approximately the same time, study senior researcher Dimitrios Koutoukidis of Oxford University told Reuters
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They function by mimicking the activities of the body's natural GLP-1 hormone, which decreases appetite and manages blood sugar levels
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Medications such as metformin [Glucophage], phentermine [Adipex-P], topiramate [Topamax], bupropion [Wellbutrin], and naltrexone [Revia] (sometimes used alone or in combination, [such as Contrave]) can be effective and are often available as inexpensive generics, sometimes for as little as $10 to $20 per month
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