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Common signs include: Frequent infections or slow recovery from illness

For persistent but not acute problems, request a phone or telehealth visit to review: Dose changes Anti-nausea or antidiarrheal options Alternative therapies Ask about referral to a specialist such as a gastroenterologist, endocrinologist, or nutritionist when long-term management is needed

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~82% reached HbA1c 6.5% Cardiometabolic: Lower BP, LDL cholesterol, waist circumference, liver fat