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While eating little-to-no carbs may increase your risk of hypertriglyceridemia eating too many can also have a similar effect

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Rubin-Ribak says

The direct rupture of an aortic aneurysm into a cardiac chamber, specifically the right ventricle, is an exceedingly rare event, with no prior reported cases in the literature, making this a first of its kind report

Your healthcare team can discuss whether switching to an alternative agent or trying a different class of diabetes medication (such as SGLT2 inhibitors or DPP-4 inhibitors) might be appropriate for your individual circumstances, in line with NICE guidance