This article explains the risks and why precise dosing matters
On one hand, the cardiovascular protection afforded by SGLT2is seems to result from their beneficial hemodynamic effects, including improvement in ventricular preload (secondary to natriuresis and osmotic diuresis) and afterload (through blood pressure reduction), but also from improvement of cardiac metabolism (through the switch from utilization of glucose to ketones), inhibition of the myocardial Na + /H + exchanger, reduction of cardiac fibrosis and necrosis, reduction of proinflammatory adipokines derived from epicardial and perivascular fat, and stimulation of erythropoiesis (which can facilitate the release of oxygen to ischemic tissues) [1, 4, 14,15,16]
This kind of ongoing support is crucial for getting through the initial phase and landing on a dose that feels right for you
This is also the phase where the psychological relationship with food tends to normalize
Savings programs and discounts : Savings cards or patient assistance programs can help reduce costs for those who qualify
You have to do it yourself