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These include cases where metformin is ineffective, contraindicated, or when a clients A1C remains above target levels despite three months of treatment if they also have conditions like atherosclerosis, heart failure, or chronic kidney disease (6)(16)

On the basis of identified protective action of Epithalon in research, it could be investigated as a preventive approach for patients with risk of morbidity HCM

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The evidence remains mixed, and the absolute numbers stay low across every study