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Common step therapy requirements include trying metformin first (if type 2 diabetes is present), trialing a GLP-1 single-agonist like semaglutide (Ozempic or Wegovy) before moving to the dual-agonist tirzepatide, and documenting inadequate response or intolerable side effects on the prior medication

Rhonda Patrick: Because this has been shown with, for example, sulforaphane in animal studies

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