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SGLT-2 inhibition in combination with other therapies is not only safe but can enhance adherence to other therapies

If you monitor your blood glucose at home (typically recommended for those on insulin, sulfonylureas, or experiencing hypoglycaemia), you may notice: Fasting glucose levels consistently above your individualised target (often around 7.0 mmol/L) Post-prandial (after-meal) glucose readings regularly exceeding your target range Increased variability in glucose readings throughout the day Another important marker is a rising HbA1c level

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Estrogen also stimulates your intestinal cells to produce more of your own GLP-1 so youre starting from a higher baseline

It contains the active ingredient tirzepatide