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Conclusions Once-weekly semaglutide 0.5 mg and 1 mg were considered dominant (more effective and less costly) versus sitagliptin 100 mg and dulaglutide 1.5 mg for the treatment of patients with type 2 diabetes with inadequate glycemic control on oral anti-hyperglycemic medications and are likely to be a good use of healthcare resources in the Spanish setting.

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GLP-1 probiotics may offer microbiome support during GLP-1 therapy, but safety depends on individual microbial composition, concurrent medications, and gastrointestinal baseline

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