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These options may help some people, but they should be introduced gradually to see how your body responds

This phenomenon, sometimes referred to as early worsening of diabetic retinopathy, appears to be related to the magnitude and speed of glucose lowering rather than a direct effect of the medication

For each of our outcomes of interest, a repeated measure within-between interaction was performed with a group, time (i.e., pre/post), and group by time interaction as the explanatory variables and a random effect for the individual was performed using the lme4 package 51

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