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Should I consider an SGLT2 inhibitor instead of or in addition to a GLP-1 medication, especially if I have heart failure or kidney disease

In addition to the impact on circulating biomarker levels of in patients with diabetic HFpEF, SGLT2i was associated with early improvements in cardiac structure and function in the diabetic HFpEF patients [64, 65]

Usage is also high among adults with heart disease, at 26%

There is one more critical piece to know about both of these hormones: they are broken down by an enzyme called dipeptidyl peptidase-4, or DPP-4

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The medication is doing its job by giving you back normal hunger cues instead of that constant food noise
