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If your BMI is under 30 (or under 27 without another condition), they may say no

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Anwendung Agonisten des GLP-1-Rezeptors sind indiziert zur Behandlung von Diabetes mellitus Typ 2 in Kombination mit anderen Antidiabetika oder als Monotherapie, wenn eine Unvertrglichkeit oder Kontraindikation gegen Metformin vorliegt