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As for mortality, both SGLT-2 inhibitors and GLP-1RA are similar in reducing both total and CV deaths, but SGLT-2 inhibitors only are superior to DPP-4 inhibitors for both deaths, whereas GLP-1RA are superior to DPP-4 inhibitors for total death, but equal for CV death

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They should also be able to quickly and clearly articulate their quality control systems and procedures including the name of the third-party testing lab they utilize. If the pharmacy itself is preparing the compounded drug, ask where they source the active ingredient they use, says Brunner

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The questions that Phase 3 will need to answer and that regulators will scrutinize closely include cardiovascular outcomes over extended periods, liver function changes beyond the 48-week window, potential interactions with other metabolic agents, and safety in populations not well-represented in Phase 2

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