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Sitagliptin and vildagliptin are not licensed for use in renal impairment, whereas saxagliptin can be used at a reduced dose and linagliptin can be used at the only strength available
This actually works in your favor with proper planning
Amgen's MariTide, Pfizer's danuglipron, and several other candidates are advancing through clinical trials
The fact that you are only charged if prescribed removes the risk of paying for a consultation that goes nowhere
When appetite decreases, nutrition has to work harder
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