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Frame it in terms of plateaued progress, need for additional appetite support, desire for the metabolic benefits the combination provides, or interest in accelerating fat loss while preserving muscle

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The influence of metformin on cAMP production in MIN6 cells treated with 10 nM GLP-1 or GIP in the presence of 5.5 (a) or 16.7 mM glucose (b)

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Weeks 1 to 4: 20 units (0.2 mL) once weekly Weeks 5 to 8: 40 units (0.4 mL) once weekly Weeks 9 to 12: 70 units (0.7 mL) once weekly Weeks 13 to 16: 90 units (0.9 mL) once weekly These are unit measurements based on insulin syringe markings

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10.1038/ejcn.2014.256 63

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