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Ask for a slower titration or hold your dose until your energy stabilizes

These findings are somewhat misleading and not all that applicable to human longevity

People with diabetes, especially those with pre-existing diabetic retinopathy, should report any visual changes promptly, as rapid improvement in blood glucose control with semaglutide may temporarily worsen retinopathy

Change in Clinical Status of Patients with Previously Controlled Type 2 Diabetes A patient with type 2 diabetes previously well controlled on Janumet who develops laboratory abnormalities or clinical illness (especially vague and poorly defined illness) should be evaluated promptly for evidence of ketoacidosis or lactic acidosis

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Meet the experts: Avery Zenker , RD, is the founder of Avery Zenker Nutrition