why are glp-1 medications so expensive And THIS is in the US : r/diabetes Navigating Changes to GLP-1 Medication
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Clinical trials investigating the impact of DPP4 inhibition on reducing HbA1c levels in T1DM patients have yielded inconsistent results
Two classes of newer anti-hyperglycemic agents can reduce CV risk and events in patients with T2D, namely glucagon-like peptide-1 receptor agonists (GLP-1RA) and sodium-glucose cotransporter-2 (SGLT-2) inhibitors

But, most importantly, we imposed a selection bias in our study population as we only were able to observe a change among those with a second measurement during followup, and the results must be interpreted with this in mind

doi: 10.1007/s00125-021-05609-x 32 GroupTS

It also appears to offer only GLP-1 receptor agonists at this time, with none of the generic medications Found can combine with GLP-1s to maximize results