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Recently, glucagon-like peptide-1 receptor agonists (GLP-1RAs) have gradually become a first-line treatment for type 2 diabetes [7]

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Moreover, since impaired cholinergic signaling was involved in both metabolic and impulsivity disorders, clinicians should avoid the use of anticholinergic drugs even in younger patients and consider replacing them with amantadine for the extrapyramidal adverse effects of antipsychotic drugs and with melatonin or ramelteon for insomnia

These medications enable better glycemic control, greater weight loss, appetite regulation, and potential cardiovascular risk reduction by combining GLP-1 receptor agonists with amylin-based therapy, which is generating increasing clinical attention

Patient Pickup: The patient goes to the pharmacy later that day