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We always try to detect a small inotropic effect of cilostamide before we add other drugs that act via cAMP and are thus expected to be more effective in the presence of cilostamide

Back Unger, RH, Cherrington, AD (3 Jan 2012) 'Glucagonocentric restructuring of diabetes: a pathophysiologic and therapeutic makeover', Journal Clinical Investigation , 122/1, 4-12

Improvements in anxiety, depression, and a reductions in suicidal ideation and suicide attempts appear substantial

Proceed with standard GLP-1 initiation
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