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I will recommend some key tests to check markers of liver health, including liver function lab markers, organic acid testing for liver function, and GI Map testing for liver function

It previously had a twice-daily pill that was also scrapped after similar liver concerns in 2023

Non-GLP-1 diabetes medications: If you do not tolerate or have an allergic reaction to a GLP-1-based medication, your doctor may recommend a non-GLP-1 medication for managing diabetes, such as metformin, SGLT2 inhibitors, or DPP-4 inhibitors

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2022 NEJM) showed 20.9% with 15 mg tirzepatide at 72 weeks