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It can be used as monotherapy when metformin is contraindicated or not tolerated, or in combination with other diabetes medications

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Safe alternatives include metformin, SGLT2 inhibitors (empagliflozin, dapagliflozin), DPP-4 inhibitors (sitagliptin, linagliptin), and exenatide immediate-release or lixisenatide, which do not carry thyroid cancer warnings