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Upper endoscopy or contrast studies may be indicated if anatomical issues such as gastrojejunal anastomosis dilation are suspected, as these may require surgical revision rather than or in addition to pharmacotherapy
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As most patients with type 2 diabetes are treated in the primary-care setting, the increasing utilization of SGLT2 inhibitors and GLP1 agonists by our primary-care colleagues will improve outcomes in people with type 2 diabetes on a population level. The clinical guidelines cautioned against treating people with type 2 diabetes with inadequate glycemic control with dipeptidyl peptidase-4 (DPP-4) inhibitors, saying that high-certainty evidence showed that adding a DPP-4 inhibitor does not reduce morbidity or all-cause mortality.
Food Chem Toxicol (2013) 55(0):498504.10.1016/j.fct.2013.01.030 123 The AIM-HIV Project
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