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Semaglutide and Cardiovascular Outcomes in Patients with Overweight or Obesity Who Do Not Have Diabetes. New England Journal of Medicine , 389, 2221-2232

Although KD significantly limits carbohydrate intake, it maintains the minimum carbohydrate supply necessary for gluconeogenesis (257)

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Chronic stress, sympathetic dominance, and disrupted bioenergetics can impair glucose regulation, hormone balance, and inflammatory controlregardless of medication use