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Manzi explains that highlighting health risks and comorbidities, such as prediabetes, metabolic syndrome, hypertension, or other cardiovascular issues like heart disease or impaired glucose tolerance, can strengthen the case for medical necessity

Understanding your metabolic biomarkers and genetic predispositions before starting treatment may help contextualize expected outcomes and support a more personalized conversation with your healthcare provider about treatment timing and dosing strategy

10.1016/j.kint.2022.12.028 [DOI] [PubMed] [Google Scholar] 68

in reality, it could be neither or both

Intraportal administration of DPP-IV inhibitor regulates insulin secretion and food intake mediated by the hepatic vagal afferent nerve in rats

Low blood sugar (hypoglycemia): You may experience symptoms like dizziness, shakiness, blurred vision, a rapid heartbeat, or feeling jittery