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The earlier SUSTAIN dose-finding studies for diabetes (Nauck et al., Diabetes Care, 2016) tested multiple dose levels including 0.05 mg, 0.1 mg, 0.2 mg, 0.3 mg, and 0.4 mg daily (note: daily, not weekly) of oral semaglutide and found dose-dependent reductions in HbA1c and body weight at every dose tested

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[12] Cognition: Greater UPF % of energy linked to faster decline in global cognition and executive function over ~8 years

Insurance coverage can vary widely, and not all patients may have access to this newer medication

Recommended add-on: glutathione (IV push) IMMUNE SUPPORT $135 Feeling off-balance