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Consideration can be given to cautiously reinitiating JANUVIA if another etiology is deemed likely to have precipitated the acute worsening of renal function

That's a useful foundation for due diligence

Avoid sugary sports drinks during the fasting window as they break the fast and spike insulin

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HbA1c improvements are typically assessed at 3 months after starting treatment and following each dose escalation

While GLP-1 injections are not a cure for obesity or diabetes, it provides a valuable option for patients who need additional support in managing their health