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Cognitive and functional influences of vildagliptin, a DPP-4 inhibitor, added to ongoing metformin therapy in elderly with type 2 diabetes

Patients in rural areas may face limited access to prescribers familiar with GLP-1 therapy, while those in lower-income communities may lack insurance coverage or ability to afford copayments

Sustainable maintenance relies on consistency, muscle preservation, and metabolic health rather than restriction

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Blood pressure and heart rate should be monitored, particularly in patients with pre-existing cardiovascular conditions, which may be more prevalent in those with longstanding hypothyroidism