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An oral agent other than SU could be added, but none is potent enough to lower the HbA1c to goal ( TABLE 2 )

Boosts Energy & Metabolism: Includes bioavailable B12, CoQ10, and magnesium malate to help metabolize carbs, proteins, and fats for sustained energy and muscle support

If sleep problems emerge, they often relate to gastrointestinal discomfort, meal-timing changes, or dose-timing rather than the medication directly affecting sleep

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If you wanna get hormone replacement therapy, I think it's a good idea to have baseline labs and to track labs when you're doing therapy