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For individuals with type 2 diabetes , the incretin effect is reduced, though GLP-1 secretion itself may be normal while another incretin hormone (GIP) is more impaired

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(PubMed) Rees K, Hartley L, Day C, Flowers N, Clarke A, Stranges S

Are compounded GLP-1 medications from Found or PlexusDx FDA-approved

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It calls for x-rays (both baseline and current), echocardiographic examinations if necessary, plus blood pressure measurement, basic bloodwork and urinalysis, and a specific determination of a "clearly enlarged" left atrium, and/or left ventricle