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Note: 4mg price increases to $199/month after April 15, 2026
Not a significant source of protein

Regular monitoring is essential : attend all scheduled appointments with your diabetes team, where your HbA1c, weight, renal function, and overall tolerability will be assessed

While the absolute risk remains low, these findings have raised concerns in the medical community and among patients using these drugs

Many people following a keto-friendly weight loss medication plan experience significant fat loss, improved metabolism, and better insulin sensitivity
Glucocorticoids decrease the production of glucagon-like peptide-1 at the transcriptional level in intestinal L-cells Molecular and Cellular Endocrinology 2015;406:60-67 doi:10.1016/j.mce.2015.02.014 (Cell line and mouse study, using pharmacological glucocorticoid doses) Kuckuck S, van der Valk ES, Scheurink AJW, et al
