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They are a feature of insulin replacement, not a personal failing

PIONEER 4 PIONEER 4 was an important trial comparing the addition of oral semaglutide or liraglutide to background metformin with or without an SGLT-2 inhibitor in patients with T2DM

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Because it is a newer, patent-protected drug, there is currently no cheap generic version available, and experts don't expect one until the early 2030s