HbA1c staying above target despite metformin Overweight or obesity, especially the abdominal fat pattern common in Indians Existing cardiovascular disease or high cardiac risk a topic we cover in depth in Part 8: GLP-1, Heart and Kidney Benefits Chronic kidney disease, where GLP-1 drugs have shown protective signals [7] A need to avoid hypoglycemia or further weight gain, which older drugs like sulfonylureas often cause DPP-4 inhibitors such as teneligliptin, sitagliptin, vildagliptin, and linagliptin are widely prescribed in India and lower blood glucose with a low risk of hypoglycemia
and second, addressing the difficulty of eliciting adequate and sustained osteogenic stimuli after peak bone mass has been attained, in order to mitigate age-related bone loss (32)
Practical Tip: If you already have a Costco membership, check with your local pharmacy about their stock of Wegovy or Ozempic
Luo WW, Tong Z, Cao P, Wang FB, Liu Y, Zheng ZQ, et al
That decision sits with the provider