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10.1007/s00125-017-4450-9 Diabetologia 85 KahlesF.MeyerC.MollmannJ.DieboldS.FindeisenH

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Tirzepatide tends to be the better fit when: the goal is more significant weight loss (15 percent or more of body weight), the patient has type 2 diabetes with A1C above target on prior therapies, prior single-pathway GLP-1 use produced limited results, or the patient tolerated GLP-1s reasonably well and wants a stronger next step

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So, while online options are tempting for their ease of access, they may not always provide the depth of care you might require