The glucagon component increases energy expenditure, which is why the weight loss numbers are higher
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For patients with recurrent issues accessing fresh medication before expiration, providers should explore barriers such as insurance coverage gaps, affordability concerns, or dosing frequency that may be contributing to medication waste
The combination group included those who added a newer generation GLP-1RA (i.e., exenatide once weekly [OW], dulaglutide, semaglutide OW T2D, or oral semaglutide) or dual GLP-1/GIP agonist (tirzepatide T2D) to their SGLT2i (i.e., canagliflozin, dapagliflozin, empagliflozin, ertugliflozin, or bexagliflozin) treatment, with persistent use of a GLP-1RA and SGLT2i for 180 days each and an overlap 120 days, where the gap after exhaustion of days supply was required to be 30 days
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