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Although coffee consumption increases blood homocysteine concentration, there appears to be no significant association between moderate coffee consumption (three to four cups/day) and the risk of coronary heart disease

When I trained, we were taught that weight was simple math: calories in minus calories out

HbA1c well above target despite oral therapy Insulin or GLP-1 agonist depending on patient preference, weight, and risk profile

Additionally, the mechanisms complement each other: as GLP-1 reduces appetite and improves insulin sensitivity, SGLT2 inhibitors independently lower blood glucose through renal elimination, creating a powerful combination that addresses both insulin resistance and glucose overload