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Researchers chose other diabetes drugs as the comparison, rather than people on nothing, since patients starting any of these drugs tend to look similar health-wise, then used statistics to smooth out remaining differences, like GLP-1 starters being younger and heavier on average

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L-carnitine is also used in treating heart disease, including irregular heartbeat, myocardial infarction (cardiomyopathy), angina, and ischemia [15]

You dont get as much weight loss with GLP-1 receptor agonists as you do with bariatric surgery, on average

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Arif Hafsa, Roughly 1M Canadians use Ozempic, similar drugs for weight loss, diabetes: study, CTVNews