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DPP-4 inhibitors In contrast to GLP-1RAs, dipeptidyl peptidase-4 (DPP-4) inhibitors have minimal, if any, effect on gastric emptying in type 2 diabetes, although their postprandial glucose lowering may be greater in individuals in whom gastric emptying is relatively faster [54]

Circadian rhythm, stress reduction, and pacing have to be actively managed

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We encourage all prospective patients to discuss the specific risks and benefits of compounded medications with their clinician before beginning treatment