Periodic breaks of 4 to 8 weeks help prevent receptor downregulation and maintain responsiveness
For daily liraglutide, time of day matters more because of the shorter 13-hour half-life
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These include situations where metformin is ineffective, contraindicated, or when patients fail to reach their target glycemic control despite treatment with metformin and other medications
Oral semaglutide acts as a keystone therapy because treating obesity often leads to significant improvements in these other conditions
doi:10.1007/s11357-015-9782-0