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According to NICE guidance, SGLT2 inhibitors are generally prioritised for patients with established cardiovascular disease, while GLP-1 receptor agonists like semaglutide are recommended based on glycaemic control and weight management criteria

If the results of conservative management are limited, surgery is a worthwhile consideration in the appropriate patient with reported efficacy in the literature (48)

Once lactation ends, the Precision Peptide Genetic Test ($99 add-on) identifies your unique GLP1R, GIPR, FTO, and MC4R genetic variants, revealing which peptide pathwaysemaglutide, tirzepatide, or dual-compound therapyaligns best with your biology

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