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As previously mentioned, because DPP-4 inhibitors can increase the risk of hypoglycemia when added to insulin or a sulfonylurea, a dose decrease of sulfonylurea and/or insulin should be considered prior to initiation of a DPP-4 inhibitor
Yesfoods rich in sulfur, antioxidants, and protein provide the building blocks, but supplementation may help in cases of depletion
Candidates should be in generally good health, willing to commit to regular follow-ups, and free of the small number of medical histories that make GLP-1 therapy inadvisable (a personal or family history of medullary thyroid cancer or MEN2, active pancreatitis, or current pregnancy)
Prioritize walking, light weights, and gentle movement
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