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Most gastroenterologists recommend avoiding apple cider vinegar during semaglutide therapy because the acidity can intensify nausea and stomach irritation already caused by delayed gastric emptying

Implement a maintenance program and retain all maintenance documentation

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Lower-cost care settings can offer better value

They are inexpensive and effective at lowering glucose, but they cause weight gain and carry meaningful hypoglycaemia risk: particularly in older adults, people with chronic kidney disease, or those who skip meals

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