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She doesnt know the outcome of the trial she was in

As the newest addition to incretin-based drugs, tirzepatide harbors the potential to counteract most of the pathogenetic mechanisms underpinning CKD in T2D displaying unprecedented features in terms of glucose and weight lowering, accompanied by promotion of insulin sensitivity, control of SBP, dyslipidemia, and biomarkers of inflammation and endothelial dysfunction

There is also some evidence that GLP-1 receptor agonists can be used alongside metformin safely, although long-term data is still evolving

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Cons of Insulin : Can cause weight gain