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The timestamp is only as accurate as the clock in the camera, and it may be completely wrong.

A provider that charges $250 for the starting dose might charge $450 at the maintenance dose

The medication is contraindicated in patients with a personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2

The clinical evidence supports continuing your existing metformin regimen exactly as prescribed

Understanding how they differ, what each is approved to treat, how dosing works, and how insurance may view them can make the choice easier to discuss with a medical provider