This situation feels different from other drug classes because it is: diabetes and obesity are massive markets, and beyond the FDA approved indicated populations, theres a swath of people interested in getting their hands on GLP-1 agonists off-label to help them lose a few extra pounds
Nursing Mothers
Some patients are prescribed metformin as an adjunct to GLP-1 therapy for metabolic reasons insulin resistance, prediabetes, or PMOS
2.1 Given these gaps, we propose the following recommendations based on current evidence 2.1.1 For clinicians We propose a clinical medication use management process that encompasses review, screening, combination therapy, education, monitoring, and follow-up (Table 3)
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Assumptions and limitations This is a population-average planning tool, not a personal prediction engine