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10.1097/CM9.0000000000001712 Chin Med J

4.1.1 Glycemic control In a pioneering study by van Raalte et al

Key findings of the study are as follows: 76 of 145 410 patients (incidence rate 1.33 events per 10 000 person years) treated with GLP1 receptor agonists and 184 of 291 667 patients (incidence rate 1.46 events per 10 000 person years) treated with DPP4 inhibitors developed thyroid cancer

or mitochondrial uncoupling to accelerate metabolism and steer fuel preference towards fatty acids for selective weight loss which preserves muscle mass

The primary fallacy lies in viewing the GLP-1 market as a zero-sum game

Clinicians can and do prescribe it off-label for weight loss, but insurance coverage and access differ between Mounjaro and Zepbound depending on your plan and diagnosis
