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ModerateEndocrinologyType 2 diabetes therapy intensificationus-abfmus-abimus-usmle-step-2us-usmle-step-3

A 48-year-old man with obesity (BMI 33 kg/m2), type 2 diabetes, and hypertension presents for follow-up. His hemoglobin A1c is 8.5 percent despite metformin at maximum dose. eGFR is 70 mL/min/1.73 m2. He has no history of heart failure or chronic kidney disease. Which agent is most appropriate to add for additional glycemic control while also promoting weight loss?

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