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They do this in several ways: They boost insulin release when blood sugar rises They reduce glucagon (a hormone that increases blood sugar) They slow down stomach emptying, which prevents blood sugar spikes after meals For people with type 2 diabetes, these effects can mean better control of blood sugar levels and lower A1C (a measure of average blood sugar over time)

Beyond glycemic control, large outcome studies have confirmed that certain GLP-1 agonists significantly improve cardiovascular outcomes (reducing heart attacks, stroke, or cardiovascular death) in high-risk diabetic patients ( [8] ) ( [9] )

OTC Option: Use an oral stimulant (Dulcolax pill) to force a movement in 6 to 12 hours, plus a softener to ease the strain

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