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Under the Philippine TRAIN Law (RA 10963), diabetes medications including Tirzepatide are 100% VAT-exempt

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If thats not an option, there are other FDA-approved medications that may not be as effective as newer generation GLP-1s, but they may still prevent that weight from coming back, he says

Metformin is inexpensive, well studied, and works through a different route from GLP-1 drugs, so most Indian doctors keep it going unless there is a specific reason to stop, such as kidney problems or side effects