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Guidelines for treating Type 2 diabetes, like the same American Diabetes Associations (ADAs), generally recommend that patients receive metformin, and if necessary, the addition of other medication(s) like: A dipeptidyl peptidase-4 (DPP-4) inhibitor like Januvia, A Glucagon-like peptide-1 (GLP-1) receptor agonists receptor agonist like Ozempic, A sodium glucose co-transporter 2 (SGLT-2) inhibitor like Invokana, and / or A thiazolidinediones (TZD) like pioglitazone
Clinical trials for Wegovy, a weight loss drug with the same active ingredient, semaglutide, found that insomnia rates were roughly the same in semaglutide groups versus placebo groups
S2CID 29053617
Then, on March 3, 2026, the FDA escalated its crackdown dramatically, issuing 30 warning letters in a single day to telehealth companies marketing compounded GLP-1s with claims implying equivalence to FDA-approved medications