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Compounded drugs are custom formulations made by pharmacies and may vary in quality, safety, and effectiveness, which can increase the risk of side effects or treatment failure
In 2023, Juan P Frias and colleagues, in The Lancet, published the first phase two clinical trial of orforglipron, which investigated the use of a small-molecule oral GLP-1R agonist called orforglipron in type 2 diabetes, which can be taken at any time of the day without restrictions on food and water intake (Frias et al., 2023)
GLP-1 agonist receptors mimic this naturally occurring hormone
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Doctors may also delay starting GLP-1 treatment for people with active pancreatitis, severe kidney problems, or untreated mental health conditions until those issues are managed