GLP-1’s (incretin mimetics) There are six medications in the incretin mimetic/GLP-1 analogues family. You may have heard that there are shortages of the GLP-1 analogues including Ozempic (semaglutide) and Trulicity (dulaglutide) injections. Your healthcare team should get in touch if these shortages will affect you, but contact them if you're worried or have questions.See full list on goodrx.com Nov 8, 2021 · Dr Konrad Kangru, a GP with a special interest in diabetes management, says GLP-1 RAs are ‘one of the most significant’ new diabetes medications that have become available in the past 5–10 years. ‘Diet and lifestyle are always number one and metformin is well acknowledged as being our first line intervention for medication,’ he said. 1-ON-1 REGULAR VIDEOTELEHEALTH VISITS. Your clinician will help you find the right dose of a GLP-1 Medication such as Liraglutide (the active ingredient in Saxenda®) or Semaglutide (the active ingredient in Wegovy® )to achieve your healthy weight loss goals. GLP-1 agonists are most often used by people with type 2 diabetes to manage blood sugar levels. GLP-1s can be taken alone, or with metformin or other diabetes drugs. GLP-1s are not approved by the FDA for people with type 1 diabetes. However, some healthcare professionals may prescribe GLP-1s off-label to those with type 1 diabetes.Use of GLP-1 and dual GLP-1/GIP receptor agonists is another strategy to help use these hormones to improve blood glucose management in people with type 2 diabetes. These medications have similar effects to the GLP-1 and GIP produced in the body, but are resistant to being broken down by the DPP-4 enzyme.The GLP-1 medications offered include semaglutide, liraglutide, and tirzepatide, sometimes better known by their brand names like Ozempic®, Wegovy®, Saxenda® and Mounjaro™, respectively. We also offer alternative effective weight loss medications including Contrave®. Contrave is a combination of two medications: bupropion and naltrexone. Summary: GLP-1 receptor agonists are an increasingly popular class of medications for weight loss and diabetes management. An important mechanism for these medications is direct gastric stimulation of GLP-1 receptors leading to delayed gastric emptying and potential for retained gastric contents in patients presenting for anesthesia.Jul 26, 2023 · A new pharmacy analysis found few people taking GLP-1 drugs like Ozempic and Wegovy stay on these medications after a year. In a report from Reuters, an analysis by Prime Therapeutics, a pharmacy ... GLP-1 RA were initially developed as glucose-lowering drugs because activation of the GLP-1 receptor by these agents leads to a reduction in blood glucose and an improvement in postprandial glucose metabolism. By stimulating GLP-1R in hypothalamic neurons, GLP-1 RA additionally induce satiety and lead to weight loss.Aug 29, 2023 · GLP-1 receptor agonists. If you’re looking for alternatives, there are other types of GLP-1 receptor agonist medications besides Ozempic. All drugs have their drug name (ending in -tide for GLP-1 receptor agonists) and common brand names. Other GLP-1 receptor agonists (brand names in parentheses) include: Dulaglutide (Trulicity) Exenatide ... By raising hormone levels, semaglutide and similar GLP-1 agonists restore the correct hormone balance, although their effect seems to end if people stop taking the drugs. Recent evidence suggests ...By raising hormone levels, semaglutide and similar GLP-1 agonists restore the correct hormone balance, although their effect seems to end if people stop taking the drugs. Recent evidence suggests ...GLP-1’s (incretin mimetics) There are six medications in the incretin mimetic/GLP-1 analogues family. You may have heard that there are shortages of the GLP-1 analogues including Ozempic (semaglutide) and Trulicity (dulaglutide) injections. Your healthcare team should get in touch if these shortages will affect you, but contact them if you're worried or have questions.Diabetes Drugs You Take by Mouth. ... GIP and GLP-1 receptor agonist. a new class of drugs and includes: Tirzepatide By working with GIP and GLP-1, it increases insulin production, but only when ... Aug 8, 2023 · The popularity of Ozempic, Wegovy, and other GLP-1 drugs has skyrocketed recently due to their ability to help people lose weight. However, some insurance companies and employers are halting ... Nov 2, 2020 · GLP-1 medications (glucagon-like peptide 1s) are the most effective medication for long-term, sustained weight loss.The GLP-1 medications, Saxenda and Wegovy®, are FDA-approved for weight loss. GLP-1 medications stimulate the secretion of insulin and slow the release of glucagon in your body, influencing blood sugar control. Aug 11, 2021 · How GLP-1 receptor agonist drugs work for weight loss GLP-1 receptor agonists mimic a protein of the same name that is made naturally in the intestines when we eat. When used for weight management, these medications pump the brakes on our appetites and the rate at which food exits the stomach. Incretin mimetics (GLP-1 agonists)—also called glucagon-like peptide-1 (GLP-1) receptor agonists or GLP-1 analogues—are an . They are usually prescribed if you have not been able to manage your condition successfully by taking tablets. GLP-1 agonists mimic your body’s own incretin hormones by lowering your blood sugar levels after you eat. These agents are glucagon-like peptide-1 (GLP-1) agonists, which were first approved for the treatment of type 2 diabetes. The new indications include weight loss in adults with obesity (body mass ...Use of GLP-1 and dual GLP-1/GIP receptor agonists is another strategy to help use these hormones to improve blood glucose management in people with type 2 diabetes. These medications have similar effects to the GLP-1 and GIP produced in the body, but are resistant to being broken down by the DPP-4 enzyme.Apr 2, 2023 · Makers of these GLP-1 agonists freely agree that people will regain lost pounds if they stop taking the medications, as clinical trial participants did after the trials ended. Jul 17, 2013 · Based on these findings, it was hypothesized that GLP-1–derived medications have a potential to cause medullary thyroid carcinoma in humans as well (3,7). It is the purpose of the current review to discuss the evidence in favor and against the hypothesis that GLP-1–based therapies increase cancer risk, specifically the risk for pancreatic ... Wegovy is the first once-weekly GLP-1 receptor agonist approved as a weight loss medication for people under the age of 18. Other GLP-1 receptor agonists, including Victoza (liraglutide) and Bydureon-BCise (exenatide), are available as once-daily injections for adolescents who have been diagnosed with type 2 diabetes.What is new and conclusions: Our findings showed disproportionality for thyroid cancer, medullary thyroid cancer and thyroid neoplasm in patients treated with GLP-1 analogues. We have found evidence from spontaneous reports that GLP-1 analogues are associated with thyroid cancer in patients with diabetes. Mounjaro® (tirzepatide) is a dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist that was recently approved by the FDA for the treatment of type 2 diabetes. The drug is manufactured by Eli Lilly & Co. and was approved in May 2022. Mounjaro® works similarly to the other drugs in the GLP ...Liraglutide is a GLP-1 RA with a half-life of 13 hours following subcutaneous administration. 42 This prolongation is achieved by reversible binding to endogenous serum albumin, facilitated by an added fatty acid side chain, and thus protection from degradation by dipeptidyl peptidase-4 or kidney filtration. 55 Liraglutide 3.0 mg once daily is ...However, GLP-1 agonists may increase the risk of hypoglycemia when coadministered with Sulfonylureas or Insulins and their dose should be adjusted to prevent hypoglycemic episodes. In addition, the delay in absorption of interacting drugs could be avoided by taking 1 hour before the administration of GLP-1 agonists. Funding Nil Acknowledgments ...Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are a class of medications used to treat type 2 diabetes. Learn about the different types of short- and long-acting GLP-1 RAs, the potential ...Travis: As you’d expect when looking across multiple drugs, the results vary a bit, but with every new approval of a GLP-1 for weight loss, the results get better and better. For the original obesity-approved GLP-1, Saxenda®, weight loss is around 5% to 6% on average. For Wegovy®, we see about 14% to 15%. Tirzepatide, currently approved for ...Semaglutide an incretin mimetic; specifically, semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist with 94% sequence homology to human GLP-1. Semaglutide binds and activates the GLP-1 receptor. GLP-1 is an important, gut-derived, glucose homeostasis regulator that is released after the oral ingestion of carbohydrates or fats.All three drugs — which are given as injections — work in a similar way: They’re a class of drugs called GLP-1 agonists, which mimic a hormone that helps reduce food intake and appetite.Dr Konrad Kangru, a GP with a special interest in diabetes management, says GLP-1 RAs are ‘one of the most significant’ new diabetes medications that have become available in the past 5–10 years. ‘Diet and lifestyle are always number one and metformin is well acknowledged as being our first line intervention for medication,’ he said.Jul 19, 2022. #1. There are now a lot of different GLP-1 receptor analogue medications on the market. These include older versions like Byetta and Victoza along with newer versions like Ozempic and Januvia. Drug companies have even succeeded in developing a pill form of GLP-1 RA, Rybelsus, and I'm sure others will come along soon.Nonetheless, use of GLP-1 RAs in patients with diabetes mellitus is growing. As a result, anaesthesiologists will increasingly encounter these medications in their patients. With the introduction of the newer long-acting GLP-1 RAs, taken once-weekly, the advice to withhold antihyperglycaemic treatment preoperatively needs to be reconsidered.Dec 9, 2016 · December 9th, 2016. A recent study suggests GLP-1 receptor agonists may be more likely to cause diabetes patients nausea, diarrhea, vomiting, and other gastrointestinal adverse effects at certain doses and in certain combinations with other medications.These findings show that the gastrointestinal adverse effects are according to the study ... Travis: As you’d expect when looking across multiple drugs, the results vary a bit, but with every new approval of a GLP-1 for weight loss, the results get better and better. For the original obesity-approved GLP-1, Saxenda®, weight loss is around 5% to 6% on average. For Wegovy®, we see about 14% to 15%. Tirzepatide, currently approved for ...GLP-1 agonists are most often used by people with type 2 diabetes to manage blood sugar levels. GLP-1s can be taken alone, or with metformin or other diabetes drugs. GLP-1s are not approved by the FDA for people with type 1 diabetes. However, some healthcare professionals may prescribe GLP-1s off-label to those with type 1 diabetes.These medicines mimic a hormone produced by the body called GLP-1, which helps the pancreas produce insulin. Similarly, GLP-1 agonists stimulate the pancreas to produce more insulin after meals. These drugs also keep food in the stomach longer so that patients feel full sooner, they reduce the liver ’s ability to make glucose, and they ...Semaglutide an incretin mimetic; specifically, semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist with 94% sequence homology to human GLP-1. Semaglutide binds and activates the GLP-1 receptor. GLP-1 is an important, gut-derived, glucose homeostasis regulator that is released after the oral ingestion of carbohydrates or fats.There have been several cardiovascular outcomes trials (CVOTs) involving GLP-1RAs, which have supported the overall cardiovascular benefits of these drugs. GLP1-RAs lower plasma lipid levels and lower blood pressure (BP), both of which contribute to a reduction of atherosclerosis and reduced CVD.GLP-1 medications work with your body's natural GLP-1 receptors to regulate weight loss, and metabolic function, as well as decrease your risk of other diseases. GLP-1s lead the pancreas to produce insulin after meals to bring down blood sugar, but they also bind to receptors in the brain to suppress appetite.GLP-1’s are known to cause a delay in gastric emptying, as noted in the label of each of our GLP-1 RA medications. Symptoms of delayed gastric emptying, nausea and vomiting are listed as side ...Nov 2, 2020 · GLP-1 medications (glucagon-like peptide 1s) are the most effective medication for long-term, sustained weight loss.The GLP-1 medications, Saxenda and Wegovy®, are FDA-approved for weight loss. GLP-1 medications stimulate the secretion of insulin and slow the release of glucagon in your body, influencing blood sugar control. GLP-1 agonists are a class of medications that mainly help manage blood sugar (glucose) levels in people with Type 2 diabetes. Some GLP-1 agonists can also help treat obesity. GLP-1 agonists are most often injectable medications, meaning you inject a liquid medication with a needle and syringe. Jul 25, 2023 · GLP-1’s are known to cause a delay in gastric emptying, as noted in the label of each of our GLP-1 RA medications. Symptoms of delayed gastric emptying, nausea and vomiting are listed as side ... The drugs, said Randy Seeley, an obesity researcher at the University of Michigan, are not correcting for a lack of GLP-1 in the body — people with obesity make plenty of GLP-1. Instead, the ...Diabetes Drugs You Take by Mouth. ... GIP and GLP-1 receptor agonist. a new class of drugs and includes: Tirzepatide By working with GIP and GLP-1, it increases insulin production, but only when ...atherosclerotic CV disease (ASCVD) or indicators of high ASCVD risk, GLP-1 agonists with proven CV benefit (i.e., label indication of reducing CV disease events) are preferred as add-on therapy; sodium glucose co-transporter-2 (SGLT-2) inhibitors are an alternative. Other medications (GLP-1 agonists, SGLT-2 inhibitors), withBottom line References imyskin/iStock via Getty Images Plus Ozempic, Trulicity, and Victoza: these Type 2 diabetes medications have been growing in popularity over the last several years. And they all belong to the same class — glucagon-like peptide-1 (GLP-1) agonists.Ozempic belongs to a class of medications called GLP-1 agonists used for type 2 diabetes. Other GLP-1 agonist medications similar to Ozempic include Trulicity , Victoza , Bydureon , and Adlyxin . Is Ozempic covered by my insurance? The reports from San Diego describe a set of medications with at least one common source of action: They each serve to activate a receptor for a hormone called GLP-1, which stifles appetite and ...Other generic oral diabetes medications:There are other diabetes pills that are available in generic form such as acarbose, rosiglitazone and pioglitazone, but these cost $100 and more for a month’s supply. All of the newer GLP-1 Agonists, SGLT-2 Inhibitors and DPP-IV Medications cost hundreds of dollars a month if not covered by insurance.Now joining these weight-loss medications are glucagon-like peptide-1 receptor agonists (GLP-1 RAs), a new class of medications initially developed for and used in the treatment of type 2 diabetes. While most GLP-1 RAs are used primarily for type 2 diabetes management, liraglutide is FDA approved for obesity management. When used for weight ...Ozempic belongs to a class of medications called GLP-1 agonists used for type 2 diabetes. Other GLP-1 agonist medications similar to Ozempic include Trulicity , Victoza , Bydureon , and Adlyxin . Is Ozempic covered by my insurance? How GLP-1 receptor agonist drugs work for weight loss. GLP-1 receptor agonists mimic a protein of the same name that is made naturally in the intestines when we eat. When used for weight management, these medications pump the brakes on our appetites and the rate at which food exits the stomach.GLP-1 drugs are non-insulin treatments for people with type 2 diabetes.A GLP-1 agonist might also be recommended for people who are unable to meet their blood sugar goals using other medications or those with a HbA1c level at least 1.5% above their target.Jan 19, 2023 · Given as daily or weekly injections, these drugs called GLP-1 RAs, help people produce insulin and lower the amount of sugar in the blood. First approved for use in type 2 diabetes patients in ... 1-ON-1 REGULAR VIDEOTELEHEALTH VISITS. Your clinician will help you find the right dose of a GLP-1 Medication such as Liraglutide (the active ingredient in Saxenda®) or Semaglutide (the active ingredient in Wegovy® )to achieve your healthy weight loss goals. GLP-1 agonists are most often used by people with type 2 diabetes to manage blood sugar levels. GLP-1s can be taken alone, or with metformin or other diabetes drugs. GLP-1s are not approved by the FDA for people with type 1 diabetes. However, some healthcare professionals may prescribe GLP-1s off-label to those with type 1 diabetes.Glucagon-like peptide 1 receptor agonists (GLP-1 RAs) are highly effective at lowering hemoglobin A1c (HbA1c) and facilitating weight loss. Four agents in the GLP-1 RA class, albiglutide, liraglutide, dulaglutide, and semaglutide, also have cardioprotective effects. However, subcutaneous administration of these agents remains a major reason for ...Mar 23, 2020 · Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are a class of medications used to treat type 2 diabetes. Learn about the different types of short- and long-acting GLP-1 RAs, the potential ... GLP-1 drugs are non-insulin treatments for people with type 2 diabetes.GLP-1 agonists are most often used by people with type 2 diabetes to manage blood sugar levels. GLP-1s can be taken alone, or with metformin or other diabetes drugs. GLP-1s are not approved by the FDA for people with type 1 diabetes. However, some healthcare professionals may prescribe GLP-1s off-label to those with type 1 diabetes. Overall, GLP-1 RAs treatment is associated with a 9–16% reduction in cardiovascular events and all-cause mortality . For this reason, GLP-1 RAs have become first choice drugs in the subject of diabetes with evidence of atherosclerotic disease and/or previous cardiovascular event .There are currently seven approved GLP-1 receptor agonists ( Table 1 ); exenatide twice daily, lixisenatide once daily, liraglutide once daily, exenatide once weekly, dulaglutide once weekly, semaglutide once weekly, and oral semaglutide once daily. Of note, due to steady decline in sales, albiglutide (a once weekly GLP-1 RA) was discontinued ...In addition, each GLP-1 RA requires specific medication counseling and self-administration education specific to that product. Conclusion The phase III studies that have compared GLP-1 RA agents head-to-head have demonstrated that all GLP-1 RA agents are effective therapeutic options at reducing A1C.Mar 9, 2021 · There are currently seven approved GLP-1 receptor agonists ( Table 1 ); exenatide twice daily, lixisenatide once daily, liraglutide once daily, exenatide once weekly, dulaglutide once weekly, semaglutide once weekly, and oral semaglutide once daily. Of note, due to steady decline in sales, albiglutide (a once weekly GLP-1 RA) was discontinued ... GLP-1 agonists are a class of medications that mainly help manage blood sugar (glucose) levels in people with Type 2 diabetes. Some GLP-1 agonists can also help treat obesity. GLP-1 agonists are most often injectable medications, meaning you inject a liquid medication with a needle and syringe.Overall, GLP-1 RAs treatment is associated with a 9–16% reduction in cardiovascular events and all-cause mortality . For this reason, GLP-1 RAs have become first choice drugs in the subject of diabetes with evidence of atherosclerotic disease and/or previous cardiovascular event .Moreover, data suggest that prescriptions of GLP-1 RAs have risen steadily in the past decade. 103 Medicare data show that the total spending of GLP-1 RAs has increased from $374 million on 753 855 prescriptions in 2012 to $2.6 billion on 2.7 million prescriptions in 2017. 104 Among >2000 patients in the contemporary CHAMP-HF registry (Change ...GLP-1 is secreted by the small intestine in response to nutrient ingestion. It enhances insulin secretion from pancreatic β-cells, and decreases glucagon release from pancreatic α-cells . GLP-1 receptor agonists are useful, injectable drugs for the treatment of T2D as they improve glycemic control and atherosclerosis-related parameters [17-26 ...Weight loss can vary depending on which GLP-1 drug you use and your dose. Studies have found that all GLP-1 drugs can lead to weight loss of about 10.5 to 15.8 pounds (4.8 to 7.2 kilograms, or kg) when using liraglutide. Studies found people using semaglutide and making lifestyle changes lost about 33.7 pounds (15.3 kilograms) versus 5.7 pounds ...However, GLP-1 agonists may increase the risk of hypoglycemia when coadministered with Sulfonylureas or Insulins and their dose should be adjusted to prevent hypoglycemic episodes. In addition, the delay in absorption of interacting drugs could be avoided by taking 1 hour before the administration of GLP-1 agonists. Funding Nil Acknowledgments ...A new pharmacy analysis found few people taking GLP-1 drugs like Ozempic and Wegovy stay on these medications after a year. In a report from Reuters, an analysis by Prime Therapeutics, a pharmacy ...Jan 17, 2023 · But because GLP-1 drugs work by stimulating hormones in your gut, the most common side effects are limited to digestion and include: Abdominal pain. Constipation. Diarrhea. Nausea. Use of GLP-1 and dual GLP-1/GIP receptor agonists is another strategy to help use these hormones to improve blood glucose management in people with type 2 diabetes. These medications have similar effects to the GLP-1 and GIP produced in the body, but are resistant to being broken down by the DPP-4 enzyme.Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are a class of medications used to treat type 2 diabetes. Learn about the different types of short- and long-acting GLP-1 RAs, the potential ...Jan 15, 2023 · Overall, GLP-1 RAs treatment is associated with a 9–16% reduction in cardiovascular events and all-cause mortality . For this reason, GLP-1 RAs have become first choice drugs in the subject of diabetes with evidence of atherosclerotic disease and/or previous cardiovascular event . Semaglutide belongs to a class of medications known as glucagon-like peptide-1 (GLP-1) receptor agonists. It mimics the GLP-1 hormone that is released in the gastrointestinal tract in response to ...
In addition, each GLP-1 RA requires specific medication counseling and self-administration education specific to that product. Conclusion The phase III studies that have compared GLP-1 RA agents head-to-head have demonstrated that all GLP-1 RA agents are effective therapeutic options at reducing A1C.. What letter does today
These agents are glucagon-like peptide-1 (GLP-1) agonists, which were first approved for the treatment of type 2 diabetes. The new indications include weight loss in adults with obesity (body mass ...The exact medication that your Clinician will prescribe depends on your medical history, biology, and insurance coverage. When appropriate, they may prescribe GLP-1 medications, including semaglutide (brand names Wegovy, Ozempic, and Rybelsus), liraglutide (brand names Saxenda and Victoza), tirzepatide (brand name Mounjaro), or dulaglutide (brand names Trulicity).INDIANAPOLIS, May 13, 2022 /PRNewswire/ -- The U.S. Food and Drug Administration (FDA) approved Mounjaro™ (tirzepatide) injection, Eli Lilly and Company's (NYSE: LLY) new once-weekly GIP (glucose-dependent insulinotropic polypeptide) and GLP-1 (glucagon-like peptide-1) receptor agonist indicated as an adjunct to diet and exercise to improve ...atherosclerotic CV disease (ASCVD) or indicators of high ASCVD risk, GLP-1 agonists with proven CV benefit (i.e., label indication of reducing CV disease events) are preferred as add-on therapy; sodium glucose co-transporter-2 (SGLT-2) inhibitors are an alternative. Other medications (GLP-1 agonists, SGLT-2 inhibitors), withApr 11, 2023 · Stimulating GLP-1 weight loss supplements took on new importance based on a just-released study that showed that the drug semaglutide promoted significant weight loss in obese participants. We’re talking up to 20% of body weight, so this has fostered a lot of attention. Semaglutide is a drug that requires a doctor’s prescription and will ... Aug 29, 2023 · GLP-1 receptor agonists. If you’re looking for alternatives, there are other types of GLP-1 receptor agonist medications besides Ozempic. All drugs have their drug name (ending in -tide for GLP-1 receptor agonists) and common brand names. Other GLP-1 receptor agonists (brand names in parentheses) include: Dulaglutide (Trulicity) Exenatide ... Glucagon-like peptide-1 (GLP-1) agonists (also known as GLP-1 receptor agonists, incretin mimetics, or GLP-1 analogs) represent a class of medications used to treat type 2 diabetes mellitus and, in some cases, obesity. Examples of drugs in this class include exenatide, lixisenatide, liraglutide, albiglutide, dulaglutide, and semaglutide.Semaglutide an incretin mimetic; specifically, semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist with 94% sequence homology to human GLP-1. Semaglutide binds and activates the GLP-1 receptor. GLP-1 is an important, gut-derived, glucose homeostasis regulator that is released after the oral ingestion of carbohydrates or fats.What is new and conclusions: Our findings showed disproportionality for thyroid cancer, medullary thyroid cancer and thyroid neoplasm in patients treated with GLP-1 analogues. We have found evidence from spontaneous reports that GLP-1 analogues are associated with thyroid cancer in patients with diabetes. This GLP-1 Agonist Medications Chart outlines the latest GLP-1 medications approved by the FDA for diabetes treatment and the differences and similarities between them. Print out this chart and post in your office as a handy reference for your staff and patients alike. The chart is in PDF format. Use this link to download: GLP-1 Agonist ...There are currently seven approved GLP-1 receptor agonists ( Table 1 ); exenatide twice daily, lixisenatide once daily, liraglutide once daily, exenatide once weekly, dulaglutide once weekly, semaglutide once weekly, and oral semaglutide once daily. Of note, due to steady decline in sales, albiglutide (a once weekly GLP-1 RA) was discontinued ...The GLP-1 medications offered include semaglutide, liraglutide, and tirzepatide, sometimes better known by their brand names like Ozempic®, Wegovy®, Saxenda® and Mounjaro™, respectively. We also offer alternative effective weight loss medications including Contrave®. Contrave is a combination of two medications: bupropion and naltrexone..
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