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MediumEndocrinologyType 2 diabetes therapy escalationukmlamrcgp aktpanemrcem sbamrcp part 1prescribing safety assessment

A 58-year-old man with T2DM on metformin has HbA1c 63 mmol/mol despite lifestyle measures. eGFR 74 mL/min. BMI 33 kg/m² and established ASCVD. What is the most appropriate next agent?

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