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Ozempic mimics the GLP-1 hormone, while Mounjaro targets both GLP-1 and GIP receptors

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In select cases particularly patients with: Obesity High insulin resistance Very high total daily insulin requirements endocrinologists may consider off-label use with: Continuous glucose monitoring Routine ketone monitoring Strict sick-day protocols Close specialist follow-up But this is not standard therapy

Boehringer Ingelheim maintains niche loyalty for dulaglutide via its auto-injector design, though share erosion is visible

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