It is approved and used in many other countries under medical supervision, given as an intravenous course
Starting both medications simultaneously makes it impossible to identify which medication is causing which side effects, makes dose titration dangerous because you cannot isolate responses, and maximizes the risk of overlapping side effects like nausea
there are a lot of potential problems that they pose. What are GLP-1 drugs and why are they so costly
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Diabetes Care 42(10):19301938 Lunghi C, Daniele G, Binda P et al (2019) Altered visual plasticity in morbidly obese subjects