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This process will take time and will require resources for primary care training and the development of sustainable pathways

Metformin renal dosing : Do not initiate if eGFR is below 45 mL/min/1.73 m

J Clin Endocrinol Metab (2006) 91:32325

Boulay said these days, one question she often gets from patients is, Do we need bariatric surgery now that there are effective GLP-1 medications such as Ozempic and Zepbound? Some patients, especially lower BMI patients (less than 35) with diabetes, would likely get more benefit out of a GLP-1 than surgery, she said

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S., Cleary, B