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Some act primarily through GLP-1 pathways, while others affect more than one incretin hormone pathway

When you take glipizide with a meal, it helps decrease the level of sugar in your blood

(From the name, it can act like insulin.) Edema (swelling) Joint pain Cardiovascular (heart) effects Increased intracranial pressure Unknown long-term health or psychiatric effects For teens with depression or bipolar disorder (often not yet recognized in teens), IGF-1 is especially concerning

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Its also available as a tablet you take every day by mouth to treat diabetes, called Rybelsus

Hall, R