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For sicker patients with established cardiovascular disease, Wegovy is definitely the way to go it can lower the risk of a recurrent event, and in this situation, phentermine is inappropriate

If you have established atherosclerotic cardiovascular disease, a GLP-1 receptor agonist with proven cardiovascular benefit would be appropriate

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Efficacy of metformin in improving glycaemic control & perinatal outcome in gestational diabetes mellitus: a non-randomized study