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For type 2 diabetes specifically, the American Diabetes Association's 2024 Standards of Care note: "For patients with type 2 diabetes who have established cardiovascular disease or indicators of high cardiovascular risk, a GLP-1 receptor agonist with demonstrated cardiovascular benefit is recommended as part of the glucose-lowering regimen independent of baseline HbA1c." [3] That language from a named guideline document can be quoted verbatim in a PA letter or appeal to BCBSNC
A large variety of these substances, either directly or in the course of their activation, contributes to the generation of oxidative stress
The best strategy is to involve your prescriber, use basic monitoring where appropriate, and stop the supplement if unexpected problems begin
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