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Since the use of animal insulin for the treatment of diabetes in 1922, about nine major classes of drugs for the treatment of diabetes have been discovered and developed worldwide, including sulfonylureas, biguanides, -glucosidase inhibitors, insulins, thiazolidinediones (TZDs), meglitinides, GLP-1RAs, DPP-4 inhibitors, and SGLT-2 inhibitors

FEBS Lett 296(3):283286

While compounded versions are a cheap and sometimes effective alternative to these pricey drugs, they still come with many risks

Rybelsus helps address glucose control through a hormone pathway rather than replacing insulin

By improving the efficiency of this process, L Carnitine L Tartrate may help support cardiovascular endurance and reduce triglyceride levels

We use standard 1ml weekly from day one unless the patient presents with documented steatosis on imaging, in which case twice-weekly 1ml dosing for the first month is clinically reasonable