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1 Risk factors The development and progression of DN are influenced by various factors, including the duration of diabetes, glycemic control, age, obesity, dyslipidemia, insulin resistance, chronic low-grade inflammation, lifestyle choices, cardiovascular health, and genetic predispositions

Healthcare providers closely monitor for side effects, particularly gastrointestinal issues and dehydration

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That said, it isnt a guaranteed permanent cure: a portion of patients more often those who started with very severe acne, were younger, or have hormonal factors experience some return of acne and may benefit from a second course or maintenance treatment