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Description
A lot of them are on compound medications

they are saving lives

Diabetes Care (2010) 33:16079
Prescription Type 16.3.4
Dysesthesia, an abnormal sensation often described as tingling, burning, or numbness in the skin, appeared in 8.8% of participants on the 9 mg dose and 20.9% on the 12 mg dose, compared to just 0.7% on placebo

Combining them raises the risk of side effects without adding benefit