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They are actively challenging Eli Lilly patent protection on the molecule itself

In highly specialised settings, a clinician might theoretically consider combining a GH-axis modulator with an incretin-based therapy for a patient with a specific, well-characterised metabolic phenotype for instance, significant visceral adiposity in the context of HIV-associated lipodystrophy who has not responded adequately to standard treatments

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While its not really necessary for nutritionists to get too in the weeds to deal with the most typical side effects from GLP-1 therapy, some of the more dangerous and less common ones may be easier to spot if you specialize in the field