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Significant cramping

HbA1c and fasting and postprandial glucose were measured in all patients at every visit

Despite the lack of clear mechanistic insights, both classes of drugs are widely used in diverse clinical contexts, and clinical guidelines strongly suggest their use especially in patients at higher cardiovascular risk

Practical next steps clinicians typically recommend include checking blood sugar control, testing vaginal discharge to distinguish yeast from bacterial vaginosis or other causes, treating confirmed Candida with topical or oral antifungals, and addressing contributing factors such as dehydration, antibiotic use, or changes in estrogen status