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Patients taking both medications should follow Rybelsus timing instructions (taking Rybelsus first, then waiting at least 30 minutes before other oral medications) and have thyroid function tests monitored

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DEXA body composition scans at baseline, 12 weeks, and 24 weeks provide objective tissue composition data

Because pill-based GLP-1 options are easier to initiate, providers may consider them sooner in the disease progression

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