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The same review states that current evidence is limited and rests mainly on experimental studies, case reports and small observational studies

The Specialist Pharmacy Service (SPS) and NHS practice guidance advise that when a GLP-1 receptor agonist is introduced, any DPP-4 inhibitor should generally be discontinued due to the mechanistic overlap and lack of additive benefit

Taking the medication properly lowers the risk of seizures

With a first-class MSc in biomechanics and advanced qualifications across strength and conditioning, exercise referral and behaviour change, he has over 13 years of hands-on coaching experience