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Short-acting GLP-1 analogs often result in fluctuating plasma concentrations, contributing to side effects and inconsistent therapeutic outcomes

It should be mentioned that one acral CMN in this study showed the parallel ridge pattern similar to acral melanomas

Acta Neurol Scand 124(5):295301

Safe alternatives include metformin, SGLT2 inhibitors (empagliflozin, dapagliflozin), DPP-4 inhibitors (sitagliptin, linagliptin), and exenatide immediate-release or lixisenatide, which do not carry thyroid cancer warnings

If you want medication at a fair price and youre self-motivated enough to manage your own diet and exercise, this is a strong option