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Description
Insulin is the preferred agent for management due to the lack of long-term safety data for noninsulin agents

These risks look quite different from those of diabetic patients who already face gastric motility disorders

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While some compounding pharmacies may still carry them, most patients will have to rely on autopen devices, which provide higher doses than typically used in ME/CFS, or vials

This shows that these medications work best when used long-term, not just for short periods