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doi: 10.1016/j.bbr.2018.03.036 37

When youre not eating enough, especially not enough protein, your body has to pull energy from somewhere

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Specifically, compared with persisting GLP-1RA, the addition of basal insulin by either free up-titration or FRC caused an additional decrease of 0.75% and 36.3 mg/dl in HbA1c and FPG, respectively, and a 7.59 times higher risk of hypoglycemia in 26 weeks