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N Engl J Med (1993) 329:97786
Cornell S (2020) A review of GLP-1 receptor agonists in type 2 diabetes: a focus on the mechanism of action of once-weekly agents
Berberine may potentiate glucose-lowering effects of diabetes medications, increasing hypoglycemia risk when combined with insulin, sulfonylureas, or meglitinides
Supplements like carnitine are most effective when used as part of a broader strategy that includes aggressive pacing, meticulous symptom tracking, dietary modifications, and nervous system regulation
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