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oral formulation (Rybelsus) also available Lixisenatide (Lyxumia) once-daily injection NICE guidance for type 2 diabetes (NG28) recommends GLP-1 receptor agonists in specific circumstances: typically as a third-line option when other treatments haven't achieved adequate glycaemic control, particularly in people with a BMI 35 kg/m (adjusted for ethnicity), or for whom weight loss would benefit other obesity-related comorbidities, or for whom insulin would have significant occupational implications

Some patients may need gradual dose reduction to prevent symptom return, especially those who have been taking high doses for long periods

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B12 helps by: Boosting energy Supporting metabolism Improving focus If you feel tired, this supplement can make a noticeable difference