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J Clin Invest 1993;91:3017.ArticlePubMedPMC 56

In a 26-week study ertugliflozin also had no adverse effect on bone mineral density (229)

They both slow stomach emptying and act on GLP-1, so doubling up would make nausea, vomiting, or constipation much more likely

While Medicaid access to obesity drugs is expected to decrease in 2026 due to key states like California removing obesity coverage, Lilly is hoping that new states will add coverage for people with Medicaid in 2027.