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Kidney stones : Topiramate increases the risk of nephrolithiasis

We match the peptide to a clear, measurable goal

Alternative medication classes should be considered if GLP-1 therapy proves intolerable: SGLT2 inhibitors (such as dapagliflozin, empagliflozin) for type 2 diabetes, which work via a completely different mechanism and rarely cause gastrointestinal side effects DPP-4 inhibitors (such as sitagliptin, linagliptin), which enhance endogenous GLP-1 activity more gently Metformin remains first-line for type 2 diabetes, though it can also cause gastrointestinal side effects Orlistat for weight management, though this also has gastrointestinal side effects of a different nature For weight management specifically, NICE recommends a comprehensive approach including dietary modification, increased physical activity, and behavioural interventions, with or without pharmacotherapy

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doi:10.3389/fphar.2023.1326373 196

For orthostatic hypotension, higher-pressure compression stockings (30-40 mmHg) or abdominal binders are more effective than lower-pressure options