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Reduce the GLP-1 dose over several weeks while simultaneously starting the alternative medication

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Semaglutide reduces cardiovascular events regardless of metformin use: post hoc subgroup analysis of SUSTAIN 6 and PIONEER 6

Taking into account the above-mentioned considerations on cost and safety aspects, oral small molecule agonists stimulating endogenous GLP-1 secretion by intestinal L-cells may offer a promising alternative for developing new treatments for Type 2 diabetes and obesity

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It also suppresses oxidized LDL action by restoring the expression of Kruppel-like transcription factor 2, an important regulator of endothelial function, by improving endothelial hyperpermeability and by reducing vascular adhesion molecule expression [79]
