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If you have type 2 diabetes in addition to obesity, your provider may choose a medication with strong glucose-lowering data
If metformin is ineffective, alternatives include SGLT2 inhibitors, GLP-1 agonists, thiazolidinediones, DPP-4 inhibitors, or sulfonylureas, often combined with lifestyle changes like diet and exercise
Older adults may already have marginal nutritional reserves and reduced absorption capacity
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