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For most people who dont have an insulin deficiency, the American Diabetes Association now recommends trying a GLP-1 receptor agonist before starting insulin

In other words, it helps us access energy from food

The clinically honest version of the conversation acknowledges both, and recognises that there are two distinct categories of intervention that might support the patient through the plateau

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The 40-60% nausea incidence demands preventive strategies like ginger, Dramamine, or prescription Zofran, with dose reduction as alternative if side effects overwhelm benefits