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This parallels the early worsening phenomenon documented with intensive insulin therapy in landmark trials like DCCT, where temporary deterioration was followed by long-term benefits with sustained glycemic control 47

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This means that, based on available research and clinical data, the two substances do not appear to directly interfere with each each others mechanisms of action or metabolism in a way that would lead to immediate, significant adverse effects

Joshua Silva, MD, is a licensed physician and Medical Director of Potere Health MD

Will this push you toward the lower edge of ketosis