Short-acting GLP-1 agonists like exenatide (taken twice daily) may produce more immediate effects on post-meal glucose levels, whilst longer-acting weekly formulations such as semaglutide or dulaglutide provide more sustained action but may take longer to reach steady-state concentrations in the body
Handa, P
Davies MJ, Dlessio DA, Fradkin J, Kernan WN, Mathieu C, Mingrone G, Rossing P, Tsapas A, Wexler DJ, Buse JB, Management of Hyperglycemia in Type 2 Diabetes, 2018
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In simple terms: Creatine fuels power L-carnitine fuels endurance This difference is very imperative in choosing between creatine vs L-carnitine for weight loss or muscle building
This practice is called off-label prescribing, and its both legal and extremely common across medicine