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How does this align with the medical literature and what I have seen in my 12 years of prescribing these medications for people with diabetes

Its not uncommon for new medications to cause some initial disruption as your body adjusts

A review on the effect of garlic on diabetes, BDNF, and VEGF as a potential treatment for diabetic retinopathy

While the first GLP-1 was approved by the FDA more than 20 years ago, to treat Type 2 diabetes, the use of these drugs took off in 2021 when Novo Nordisk received approval for a semaglutide drug to treat obesity, with the brand name Wegovy
