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This can prevent your stomach from feeling overly full and reduce nausea from GLP-1 therapy

In the entire study population (patients on JANUVIA in combination with glimepiride and patients on JANUVIA in combination with glimepiride and metformin), a mean reduction from baseline relative to placebo in A1C of -0.7% and in FPG of -20 mg/dL was seen

Boutant M, Joffraud M, Kulkarni SS, Garcia-Casarrubios E, Garcia-Roves PM, Ratajczak J, et al

And it's very personalized

Sleeve gastrectomy physically constrains meal size and triggers mechanical satiety, while semaglutide acts on appetite-regulating neurotransmitter pathways in the central and peripheral nervous system