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This should be a red flag. In these cases, Dr

Recurring afternoon headaches, muscle cramps, fatigue, brain fog, dizziness when standing and urine that is consistently darker than normal may all indicate that your body is not replacing fluids and minerals as effectively as before

[1] [2] They work by mimicking the action of the naturally occurring GLP-1 hormone, which is released from the intestine in response to food intake

One review of GLP-1 mechanisms showed reduced inflammatory markers and improved adipose tissue signaling in metabolic conditions, as seen in a recent research review

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JMs background metformin was continued As stressed in the ADA Standards of Care, metformin remains the recommended first-line pharmacologic therapy in patients with T2D and should be continued with the addition of other glucose-lowering therapies in those who can tolerate and do not have a contraindication to metformin therapy