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But there are rumblings that some runners are at least considering using it this way

It's the system functioning the way it should have from the beginning: connecting patients who need medication with providers who can prescribe it and pharmacies that prepare it, without requiring a third-party negotiator to extract value at every transaction point

Therefore, in patients where the fasting glucose is a more dominant feature of their hyperglycemia, metformin may be more appropriate, while GLP-1RAs could be better suited for those with postprandial hyperglycemia