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And before we turn this into a story about a doctor who doesnt get it, it helps to know there are a few very real reasons clinicians say no

This must be done under a doctor's care

GLP-1 RAs also slows down your gastric emptying and sends signals to your brain that reduce your appetite so you feel full longer

however, emerging evidence suggests a potential association with increased RGC, even in adequately fasted patients

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The cardioprotective effect of metformin in patients with type 2 diabetes is not only attributable to its glucose-lowering effects but also to its significant antihypertensive properties [33]