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Metformin remains the American Diabetes Associations recommended first-line diabetes medication for most adults with type 2 diabetes, while Rybelsus may be added when metformin alone does not achieve adequate blood sugar control
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This difference matters for long-term prescribing, as some providers are hesitant to prescribe Schedule IV medications for extended periods

Sixty-three percent were male
Sleep: Persistent itching can also affect sleep quality, leading to fatigue and decreased productivity

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