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There have been postmarketing reports of severe and disabling arthralgia in patients taking DPP-4 inhibitors

And it acts directly on hypothalamic appetite centers, reducing the neurological drive to eat

They should be used only in patients who meet diagnostic criteria for obesity or overweight with comorbidities

doi: 10.1159/000442721 13 SammsRJCoghlanMPSloopKW

However, Eli Lilly offers direct-to-patient access through LillyDirect, which may provide more transparent pricing and self-pay options for eligible patients

The need for lab work depends on your medical history, current conditions, medications, and recent test results