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Description

Only very small molecules can reliably pass through the skin, which is why patches work for things like nicotine, certain hormones (like estrogen), or some pain medications

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Postmarketing Experience Additional adverse reactions have been identified during postapproval use of sitagliptin with metformin, sitagliptin, or metformin

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The workaround many prescribers use: if a non-diabetic patient also has a comorbidity that a GLP-1 drug treats (cardiovascular disease for Wegovy, sleep apnea for Zepbound), the prescriber can request coverage under that indication

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All hormone therapies carry some risks

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