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Indeed, say Sklepinski and McCoy, most patients with type 2 diabetes would benefit from a GLP-1RA (or SGLT2i) for cardiovascular risk reduction, and we should continue to work on multilevel strategies to reduce barriers to prescribing, access, and use. Horvath is a freelance writer based in Baltimore, Md

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A self-amplifying vicious cycle lies at the heart of this pathology