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However, metabolic variability in these patients warrants closer observation

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SGLT-2 inhibitors require monitoring for dizziness, hypotension, and renal dysfunction within three months of initiation and are contraindicated when glomerular filtration rate is reduced, usually to less than 30 mL per kg per 1.73 m 2

I would imagine people gain some weight back and that there is like the holidays and things like that