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There may also be costs associated with shipping if the medication is ordered online

When Combination Therapy May Be Appropriate and Safety Considerations GLP-1 plus DPP-4 combination therapy remains a niche strategy, reserved primarily for patients who have reached maximum tolerated GLP-1 doses, achieved partial glycemic control, and have contraindications to insulin or SGLT2 inhibitors

10.2337/diabetes.53.9.2492 56

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