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However, in some cases, underlying factorssuch as receptor resistance, lifestyle misalignment, nutrient gaps, or dosing issuesmay need to be addressed to achieve results again

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The American Diabetes Association guidelines emphasize that patients should avoid drinking on an empty stomach and should monitor blood glucose levels before, during, and after drinking, as well as before bedtime and the following morning

In addition, although numerous strategies for managing these AEs have been described, their application in clinical practice continues to evolve