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Even if youre not taking GLP-1s, sagging skin after weight loss is a common concern

PLoS One 9 , e102196 (2014)

Stick with insulin syringes

The American Diabetes Association and European Association for the study of Diabetes consensus guideline recommends that, in people with type 2 diabetes and established atherosclerotic cardiovascular disease, treatment for hyperglycaemia should be diet, lifestyle change and metformin, followed by, if this does not achieve target HbA 1c levels, an agent proven to reduce cardiovascular mortality risk (Davies, 2018)