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That is not because doctors are being paternalistic

Fenkci SM, Fenkci V, Oztekin O, Rota S, Karagenc N

Evaluated by fasting blood glucose, the network meta-analysis enrolled 47 randomised controlled trials with 17 163 subjects, confirming the placebo controlled effectiveness of all the 15 GLP-1RAs (fig 4, fig 5)

These include both oral and injectable treatment options [1]

The mechanisms behind these cardioprotective effects likely involve a combination of weight loss, improved glycemic control, and direct actions on the cardiovascular system, including improved blood pressure control and reduced inflammation

If the room becomes excessively hot, the safe window for the medication can shrink significantly