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The first step is getting a proper evaluation one that looks at your liver, your insulin resistance, your visceral fat, and your full metabolic picture together

Treatment typically starts with 3 mg once daily for 30 days (an initiation dose not intended for glycaemic control), then increases to 7 mg once daily

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Over time, these conditions become harder and harder to overcome, like trying to scale Old Town San Diego State Historic Park in San Diego, CA, without climbing gear