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Diabetologia 56 , 26792687 (2013)

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has received grants from Sanofi and consultancy, speaker fees or travel support from Advicciene, Astellas, AstraZeneca, Amicus, Amgen, Fresenius Medical Care, GSK, Bayer, Sanofi-Genzyme, Menarini, Kyowa Kirin, Alexion, Idorsia, Chiesi, Otsuka, Novo-Nordisk and Vifor Fresenius Medical Care Renal Pharma, and is the Director of the Catedra Mundipharma-UAM for diabetic kidney disease and the Catedra Astrazeneca-UAM for chronic kidney disease and electrolytes

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If you have tried both tirzepatide and semaglutide without adequate results, the issue may be dose-related, timing-related, or lifestyle-related rather than medication-related