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Among the factors thought to cause metabolic syndrome are a diet heavy in fat and carbohydrates and insufficient physical activity [8]

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For patients who cannot use GLP-1 or who do not respond well to it, alternatives include: Other GLP-1 receptor agonists like liraglutide or dulaglutide SGLT2 inhibitors or DPP-4 inhibitors for diabetes management Non-medication-based approaches like bariatric surgery for weight loss Your healthcare provider can guide you in choosing the best treatment based on your needs

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