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After 4 weeks, the dose should be increased to 0.5 mg once weekly, with further increases to 1 mg or 2 mg weekly if needed for glycaemic control

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I think this is a really important signal, and it may reflect that these patients were able to optimize their metabolic health prior to conception, Dr

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17 Glucose homeostasis : Allulose enhances glucose-dependent insulin secretion while simultaneously suppressing glucagon release, mimicking the physiological effects of endogenous GLP-1

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For patients using these medications to manage obesity including those who had pre-diabetes, metabolic syndrome, or significant cardiovascular risk that restriction can feel deeply unfair, particularly if the medication was working

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