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Before adding anything new, it helps to get clear on what these molecules do and which of them are even available here in Australia

Blood test to measure methylmalonic acid level

The phase 3 TRIUMPH-4 data showed these rates at 9 mg and 12 mg doses respectively: Nausea: 38.1% and 43.2% (vs 10.7% placebo) Diarrhea: 34.7% and 33.1% (vs 13.4% placebo) Constipation: 21.8% and 25.0% (vs 8.7% placebo) Vomiting: 20.4% and 20.9% (vs placebo) These numbers are higher than cagrilintide monotherapy across the board

Liraglutide Liraglutide, trade name Victoza, was developed by Novo Nordisk

But it does not seem to affect the number of naps needed, quality of life, or sleepiness