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Pharmacological alternatives recommended by NICE for type 2 diabetes include: Metformin : The first-line medication, which reduces hepatic glucose production and improves insulin sensitivity SGLT2 inhibitors : These promote glucose excretion through urine and offer cardiovascular and renal benefits

Again, nothing in this expanded list has any relationship to GLP-1 medications

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Gahl WA, Hubbard VS, Orloff S (1984) Decreased sweat production in cystinosis

Tips for managing vomiting Sit upright or stand after eating to help prevent reflux