For people with T2D and atherosclerotic cardiovascular disease (ASCVD) or high CV risk, clinical guidelines developed by the American Diabetes Association and the European Association for the Study of Diabetes specifically recommend the use of glucagon-like peptide 1 receptor agonists (GLP-1 RAs) or sodiumglucose cotransporter 2 inhibitors (SGLT2is) [9, 10], irrespective of baseline blood glucose levels or metformin use
Practical strategies for managing symptoms include: Eating smaller, more frequent meals rather than large portions, which can overwhelm a stomach that is already emptying more slowly Eating slowly and chewing food thoroughly to reduce the volume of air swallowed and ease digestive burden Reducing foods high in sulphur during periods of active symptoms these include eggs, red meat, garlic, onions, and cruciferous vegetables such as broccoli and cabbage
These studies aim to better understand the mechanisms behind these side effects and develop strategies to mitigate them
No additive, whether levocarnitine or anything else, can replace the muscle-preserving stimulus of resistance training
