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Peripheral neuropathy is a common complication in diabetes (and metabolic syndrome) and often results from chronic alcohol abuse

Initial therapy with the combination of JANUVIA and pioglitazone provided significant improvements in A1C, FPG, and 2-hour PPG compared to pioglitazone monotherapy (Table 11)

Additionally, severe gastrointestinal side effects can occasionally lead to dehydration and electrolyte imbalances, which may indirectly affect cardiac function

GLP-1 drugs are definitely changing drinking habits

Zepbounds official side-effect guidance says it may help to eat smaller meals, stop when full, avoid fatty foods, and try bland foods like toast, crackers, or rice

Thats why its so common for them to supplement with prenatal vitamins