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NICE guideline NG28 recommends offering metformin as first-line pharmacological treatment for most adults with type 2 diabetes, unless contraindicated or not tolerated, irrespective of body mass index (BMI)
The most common side effects are gastrointestinal, including nausea, diarrhoea, vomiting, and constipation, affecting more than 1 in 10 people
These options may be more accessible and affordable
People currently treated privately with a 2.4mg Wegovy injection once a week can move straight to 25mg tablets once per day, the Medicines and Healthcare products Regulatory Agency (MHRA) said
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