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10.1002/tox.23031 Environ

Its worth being clear-eyed about the studys limits: it was a single-center, retrospective chart review, not a randomized trial, and nearly a third of patients discontinued the medication, most often due to gastrointestinal side effects

Documentation is mandatory: Provide your current A1C ( 6.4%), historical A1Cs proving you never hit 6.5%, a complete med list with start dates and dose changes and proof you completed all observation periods without adverse effects