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According to the results of both DAPA-HF [13] and EMPEROR-R [14], the FDA have approved both dapagliflozin and empagliflozin to reduce the risk of CV death or hospitalization for HF in adults with HF and reduced ejection fraction regardless of whether they have diabetes

Patients currently using compounded semaglutide should discuss transitioning to FDA-approved alternatives with their healthcare provider

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A physician reviewing these before starting gives you a reference point and determines whether intervention is warranted

Video consultations allow basic cardiovascular assessment, though in-person exams are not performed