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If you're not going to get the same effect as someone who's hormonally optimized
Many of the studies confirming CV and renal benefits of SGLT2 inhibitors and GLP-1s were published after 2020

Pharmacies vs Online Retail pharmacies such as Walmart and CVS offer convenient needle purchase options with standard pricing and no need for prescriptions in most states

Practical handling: leave the pen out only during injection prep, then return it to the fridge
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Plasma DPP-4 activity and TG excursion were reduced, and plasma active GLP-1 was increased, in sitagliptin-treated Dpp4 +/+ mice, but sitagliptin had no effect in Dpp4 / mice (Figure 1, B and C, and Supplemental Figure 3, A and B), consistent with the selectivity of sitagliptin for DPP-4 (22)
