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The body composition cost Weight loss is not the same as fat loss
GLP-1 analogs (exendin-4) can also improve hepatic steatosis [35] in ob/ob mice both in vivo and in vitro [36]
The glucose challenge test is recommended as the first line of screening since it is relatively cheaper than other tests currently available
However, the black box warning regarding thyroid C-cell tumors observed in rodent studies necessitates careful patient selection and counseling, even though the relevance to human thyroid disease remains unclear
Bottom line: Continuing metformin when starting a GLP-1 can offer a one-two punch for metabolic health, but it requires careful supervision to ensure your blood sugar does not drop too low
It typically produces results within 1-3 days
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