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This effect is likely mediated through the inhibition of Smad2/3 phosphorylation [101]

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What to Do If One Medication Isn't Working Well Enough If Mounjaro or Wegovy alone reaches a dose ceiling without satisfactory results, your doctor has several evidence-based options: continue escalating the single agent to its maximum recommended dose, switch to a different drug class (such as SGLT2 inhibitors or older lipase inhibitors), or consider a combination approved by clinical evidencesuch as metformin plus GLP-1 therapy for patients with prediabetes

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