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Try having coffee with or after breakfast rather than first thing

The medication then gradually decreases over the following days, which is why weekly dosing keeps levels stable enough to control hunger and blood sugar

The theoretical concern is additive effects on insulin sensitivitybeneficial in some contexts, but potentially requiring dose adjustment or monitoring in others

J Clin Endocrinol Metab 2017

In Phase 2 trials, treatment with survodutide led to greater reductions in both HbA1c levels and body weight compared to placebo after 16 weeks
