Melatonin is a hormone associated with sleep regulation
Both Novo Nordisk and Eli Lilly have patient support lines and replacement programs, especially if the freezing happened during delivery
From a cardiovascular perspective, Vitamin B12 nasal spray helps lower homocysteine levels in the blood, a compound associated with an increased risk of heart disease
Conclusion While treatment of adults with CKD and T2D should be holistic, SGLT2is should be prioritised as foundational therapy, independent of BMI, to reduce cardiorenal risk
The stomach lining needs support, the immune system needs to calm down, the gut microbiome needs to be repaired, and most importantly stress needs to be addressed
GLP-1RAs cause GI side effects, including nausea, vomiting, diarrhea, constipation, and abdominal pain in most patients