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(2025) Anti-inflammatory properties of GLP-1 receptor agonists and other ancillary benefits from a pharmacological perspective
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Ozempic works by mimicking the action of GLP-1 in the body

doi: 10.2337/dc11-0064

At the same time, Metformin decreases the production of glucose by the liver, a process called gluconeogenesis, and also decreases intestinal absorption of glucose and increases insulin sensitivity. For people with otherwise normal glucose, this dual decrease in blood sugar may cause hypoglycemia

Zhao H, Tang Y, Zheng C, et al

And they note that, quote, salivary and urine hormone testing to determine dosing are unreliable and not recommended
