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Because both forms are fast-acting, doctors usually choose the method based on safety, availability, and how predictable the response needs to be

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In the GLP1-RA exposed group, concomitant or subsequent use of antidiabetic medications was reported in 44 (26.2%) cases, meaning in almost all women with diabetes (n=46) and of these, the use of more than one (non-GLP1-RA) antidiabetic medication was reported in 19 cases

They begin with one spray of ~150 mcg approximately 30 minutes before bedtime for one week