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For patients with diabetes, the risk of diabetic retinopathy complications and hypoglycemia (when used with insulin or sulfonylureas) should be discussed with healthcare providers
According to an order by U.S
Insulin resistance and elevated insulin levels affect the production of sex hormones, so improving insulin sensitivity can shift hormonal balance, often in a positive direction, particularly for women with PCOS
When prescribed for weight management, it should always be used as an adjunct to a reduced-calorie diet and increased physical activity
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