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"Semaglutide vs Tirzepatide for Weight Loss in Adults with Overweight or Obesity," JAMA Internal Medicine

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But in a patient whose HbA1c is already near target on dulaglutide, even a 0.09% additional reduction, combined with the gastric-emptying delay that GLP-1 agonists produce, could lower post-meal glucose enough to cause symptomatic hypoglycemia in someone simultaneously taking a sulfonylurea