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Unlike abdominal or groin hernias, a hiatal hernia is internal and cannot be seen or felt from the outside
However, if you have been at maximum dose for 12 or more weeks without adequate response, or if side effects prevent further dose increases, switching to tirzepatide is a reasonable next step
S., Sayed, G
An early recognition of DPP-4 inhibitors as glucose-lowering agents was the joint position document from EASD and ADA in 2012 (100)
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