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Serious side effects are rare when peptides are dosed correctly and sourced from licensed compounding pharmacies
How treatment is chosen: the modern algorithm Current NICE NG28 (and the ADA Standards of Care) personalise the second drug to the person, not just the HbA1c: Established cardiovascular disease, heart failure, or chronic kidney disease SGLT2 inhibitor first add-on (or first-line alongside metformin)
Treatment continued for 26-42 months
Apnea of prematurity represents another frequent challenge in this vulnerable population
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