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Cases 1 to 3 & 8, who had history of upper GI surgery ( Table 1 ), were started on metformin at 500 mg, gradually increased to 2 g daily, based on their response

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But medical advice should be taken, and some tests must be done before starting

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As clinical evidence accumulates, GLP-1 therapy may shift from experimental to mainstream treatment, particularly for patients seeking alternatives to lifetime pain medication dependence

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