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Its possible for artificial sweeteners to affect blood sugar levels, according to a review published in the journal Frontiers in Nutrition
Presse Med 50:104073 Arajo-Vilar D, Santini F (2019) Diagnosis and treatment of lipodystrophy: a step-by-step approach

It flatly refused to make generic GLP-1s

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Effects of the SGLT2 inhibitor ipragliflozin on food intake, appetite-regulating hormones, and arteriovenous differences in postprandial glucose levels in type 2 diabetic rats

7 Exenatide and PD Exenatide is the first GLP-1 RA that was approved by the FDA
