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Yes, GLP-1 receptor agonists are commonly used alongside metformin and can also be combined with insulin, often allowing lower insulin doses and reducing weight gain

This means the concentration fluctuation from inconsistent timing is amplified
doi: 10.1007/s00125-017-4303-6 [DOI] [PMC free article] [PubMed] [Google Scholar] 36

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This is one of the most common pharmacy defaults, especially for patients who order larger vial sizes to reduce per-dose costs