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However, the first goal is making sure each person can tolerate the medicine

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Combination therapy with glucagon-like peptide-1 receptor agonists and sodium-glucose cotransporter 2 inhibitors in older patients with type 2 diabetes: a real-world evidence study

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Because subtherapeutic dosing sits below the FDA-approved starting dose and lacks randomized trial support, providers will explain the trade-offs honestly: the appeal (slower onset, reduced GI side-effect reports, lower cost) and the limits (no efficacy guarantee, no proven cardiovascular benefit at microdose levels, ongoing safety monitoring still required)

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Compared to other medications for obesity, orlistat produces the least weight loss (2.6 kg) (Khera R et al, JAMA 2016;315(22):24242434)

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