These effects typically resolve within days and may reflect immune system modulation during the adjustment period
This might include metformin optimization, addition of SGLT2 inhibitors (particularly beneficial for those with cardiovascular disease, heart failure, or chronic kidney disease), DPP-4 inhibitors, or other agents depending on your individual clinical profile and contraindications
10.1016/s0928-4257(97)89478-8 6 HuangT.ZhangK.SunL.XueX.ZhangC.ShuZ.et al (2015)
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Regular monitoring should include kidney function tests, lupus disease activity markers, assessment of gastrointestinal tolerability, and evaluation of weight loss response