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We excluded 40 individuals who were already using insulin, 44 who started insulin therapy after discontinuing GLP-1 receptor agonists, and 70 with missing baseline or follow-up HbA1c values

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2 But intuition and evidence are not the same thing, and the leap from amylin slows gastric emptying to a long-acting, continuously present amylin analog slows gastric emptying week after week hides a genuinely open scientific problem