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The first step is getting a proper evaluation one that looks at your liver, your insulin resistance, your visceral fat, and your full metabolic picture together

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Treatment typically starts with 3 mg once daily for 30 days (an initiation dose not intended for glycaemic control), then increases to 7 mg once daily

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Transthoracic echocardiography plays a central role in assessing left ventricular wall thickness, chamber dimensions, systolic and diastolic function, and myocardial deformation parameters, which may help differentiate physiological adaptation from maladaptive remodeling [133]