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1 Higher rates of symptomatic hypoglycaemia were observed when dulaglutide was given in combination with a sulfonylurea plus metformin or prandial insulin

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The reduction in the average age of onset of diabetes (and obesity) [76] 3

While you should always consult your healthcare provider before starting a new supplement, it may be wise to avoid or closely monitor astaxanthin use if you fall into one of the following categories: People taking blood pressure or cholesterol medications Astaxanthin may modestly lower blood pressure and LDL cholesterol in some studies.29 42 If you already take antihypertensive or statin drugs, combining them could theoretically amplify these effects

That said, some patients benefit from a refinement session after 3-6 months, especially for larger treatment areas