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PMID: 23997720
medRxiv Novo Nordisk / FDA
The authors write that they suspect the two medications had synergistic effects in the patient, leading to adequate control of his blood sugars yet a state of starvation, ketone production, and resultant systemic acidification
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Some patients explore gradual weaning protocols rather than abrupt discontinuation to minimize rebound
Ways to avoid facial side effects include: Adjusting the dosage to a lower level
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