once a week glp-1 agonist Comparing Ozempic, Wegovy and Other Drugs GLP-1 Agonists For Obesity In
Description
Metformin commonly causes gastrointestinal upset and vitamin B12 depletion with long-term use

Intraportal administration of DPP-IV inhibitor regulates insulin secretion and food intake mediated by the hepatic vagal afferent nerve in rats

The ADA standard for the treatment of diabetes updated in 2020 indicated that patients with T2DM diagnosed with CVD or those with CVD risk factors can use GLP-1RAs and SGLT2 inhibitors with evidence of cardiovascular benefits to reduce cardiovascular risk, regardless of HbA1c levels or individualized HbA1c control objectives [189]

The Physiologist Magazine: American Physiological Society

Additional mechanistic studies are needed to confirm these assumptions
The median total duration of protection from FDA approval, when accounting for both pre- and post-approval patents and regulatory exclusivities, was 18.3 years (IQR: 16.0-19.4) (Figure 2)