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The ACHIEVE-3 head-to-head trial showed slightly higher discontinuation with orforglipron than with oral semaglutide, consistent with orforglipron's greater potency and attendant greater GI activation

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Shockwave therapy The use of LI-SWT has been increasingly proposed as a treatment for vasculogenic ED over the last decade, and its the only currently marketed treatment that might offer a cure, which is the most desired outcome for most men suffering from ED [351,482-489]

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Glucagon secretion from cells is also inhibited proportionally to the glucose concentration, which is considered to be mediated by an increase in insulin or somatostatin secretion or by an inhibitory effect via the vagus nerve

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Essential points to remember are that GLP-1 and GIP analogues may be beneficial for people with ASCVD and/or obesity, alongside T2DM as this drug class has shown benefit in improving cardiovascular outcomes and reducing weight, both of which we know are intrinsically linked to T2DM

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