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Their study suggests that rapid correction of hyperglycemia, rather than drug toxicity, might be associated with the observed issues

You have other symptoms such as fatigue, weight gain (despite GLP-1 use), menstrual changes or feeling cold (which may suggest thyroid issues)

doi:10.1016/j.cmet.2022.07.013

PIONEER 6 PIONEER 6 was a randomized, double-blind, placebo-controlled trial comparing oral semaglutide to placebo designed to rule out an excess in cardiovascular risk with oral semaglutide among patients with T2DM

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Inflammation in obesity-related HFpEF: the STEPHFpEF program