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Maintaining adequate calorie intake and micronutrient statusparticularly iron, zinc, and B vitaminssupports reproductive health during this transition and may reduce severe disruptions

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A right heart catheterization with oximetry saturation (shunt run) demonstrated pulmonary hypertension and a large left to right shunt (Qp/Qs ~ 3)

J Diabetes Res 2018:1232583 Ikonomidis I, Pavlidis G, Thymis J, Birba D, Kalogeris A, Kousathana F, Kountouri A, Balampanis K, Parissis J, Andreadou I, Katogiannis K, Dimitriadis G, Bamias A, Iliodromitis E, Lambadiari V (2020) Effects of glucagon-like peptide-1 receptor agonists, sodium-glucose cotransporter-2 inhibitors, and their combination on endothelial glycocalyx, arterial function, and myocardial work index in patients with type 2 diabetes mellitus after 12-month treatment