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You can also ask your provider about Rybelsus

Trials also used a slow step-up, starting at a low dose and rising over several weeks

Clinical Evidence: Weight Loss Outcomes and Timeline Sermorelin studies show modest weight loss of 24 pounds per month in most patients, with results heavily dependent on lifestyle modifications and individual growth hormone response

Based on the above discussed, patients with liver disease and DM may be benefited with incretin-based therapies due to their low liver toxicity and wide tolerance