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Some studies suggest that DPP-4 inhibitors can also affect bone metabolism

The best results were achieved in combination with a reduced-calorie diet and increased physical activity

[1] Virtual visits handle medication adjustments and follow-ups, while in-person locations can support injection training or lab work when needed

A quality program includes structured dietary guidance, access to prescribers for dose adjustment requests between scheduled follow-ups, and explicit protocols for managing the three most common treatment obstacles: early-phase nausea severe enough to disrupt daily function, weight loss plateaus at 812 weeks despite medication adherence, and the transition period when patients approach goal weight and begin considering maintenance dosing or discontinuation