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Currently there are several selective DDP4 inhibitors approved for use in the US by the US FDA

They do not compete with each other or create redundancy

It not only stimulates insulin secretion but also suppresses glucagon release, slows gastric emptying, and promotes satiety

( Note: In March of 2025 all compounding pharmacies stopped producing compounded Tirzepatide, but we can now prescribe the brand name to your pharmacy of choice

Synergistic effects Clinical evidence shows that combining metformin with semaglutide provides stronger benefits, such as better blood sugar control and weight management, than using either medicine alone