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Alternative options include SGLT2 inhibitors (which offer cardiovascular and renal benefits), switching from a DPP-4 inhibitor to a GLP-1 receptor agonist, adding insulin therapy, or considering other medication classes based on your individual circumstances

50 Some studies of black cohosh have reported finding phytoestrogenic compounds, but these compounds have not been consistently found in all extracts

The medication also increases sun sensitivity significantly

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Pretreatment with GLP-1 reduced AMPK phosphorylation in MG-treated cells, especially at 17 hr