Although these are promising results, evidence for a protective role for insulin remains low, and a recent Cochrane review from 2017 found no protective or preventive association between cognitive impairment and the use of antidiabetic T2D treatment strategies ( metformin, insulin, repaglinide, glibenclamide, glimepiride, rosiglitazone, gliclazide, perindopril-indapamide )
However, this is purely speculative
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The first developed biologic agent, tumor necrosis factor- agents, were shown to be efficacious in CD, heralding a new era in management of CD
Tirzepatide (Zepbound, Mounjaro) is also available but at a higher cost
Tirzepatide GI side effects are most pronounced during titration, when gastric emptying slows significantly, and typically improve as the dose stabilizes