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Even the thinnest needle can occasionally nick a vessel, causing a tiny amount of blood to leak into the surrounding tissue

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For patients who cannot use GLP-1 or who do not respond well to it, alternatives include: Other GLP-1 receptor agonists like liraglutide or dulaglutide SGLT2 inhibitors or DPP-4 inhibitors for diabetes management Non-medication-based approaches like bariatric surgery for weight loss Your healthcare provider can guide you in choosing the best treatment based on your needs

doi: 10.1093/rheumatology/kex370 38 KemaIde VriesEMuskietF