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Based on a previous systematic review and meta-analysis by He et al
Additionally, hyperglycemia is associated with decreased nerve fiber diameter, reduced number of large myelinated fibers, and decreased nerve conduction velocity, which are more pronounced in cases of early-onset hyperglycemia (Strand et al., 2024)
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A Few States Are Doing It Anyway
Earlier, I mentioned that fat, protein, and fiber are slow-digesting nutrients, with dietary fat having a GLP-1 advantage thanks to bile
Obesity and visceral adiposity are key drivers of HFpEF development and progression, and this may be even more amplified in women, who represent the majority of people with the disease, and bear a heavier burden of symptoms and physical limitations due to HFpEF, says Mikhail Kosiborod, MD, FACC, senior author of the study and a cardiologist at Saint Lukes Mid-America Heart Institute
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