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Before starting, she recommended telling your doctor if you have a history of pancreatitis, slow stomach emptying (gastroparesis), past bariatric or stomach surgery, diabetic eye disease, or gallbladder problems such as gallstones
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Historically, type 2 diabetes has been treated with metformin, which remains a first-line therapy alongside sulfonylureas, thiazolidinediones, and insulin

Your doctor may wish to check relevant blood tests, including thyroid function, morning total testosterone levels in men (with repeat testing if low, and possibly SHBG, LH/FSH, and prolactin where indicated), and markers of diabetes control such as HbA1c

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More complex stacks should only be considered after establishing baseline response to simpler protocols