Tosatto SC, Bosello V, Fogolari F, Mauri P, Roveri A, Toppo S et al
Concerns exist about GLP-1 receptor agonists causing substantial weight loss and increasing the risk of ketoacidosis or hypoglycemia, Hui Shao , M D, PhD , associate professor in the Hubert department of global health and Emory Global Diabetes Research Center at Emory University Rollins School of Public Health, and colleagues wrote
"It's old school, but I have patients with type 1 and 2 diabetes who prefer vial and syringe to pen devices
Standard glutathione is substantially degraded by gastric acid before reaching systemic circulation
While there are certainly some gaps present within this system (e.g., no formally established non-responder protocol, no previously published tapering pathway, etc.) the patient will need to take on the responsibility of seeking out information to ensure their needs are met