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Alternative options include SGLT2 inhibitors (which offer cardiovascular and renal benefits), switching from a DPP-4 inhibitor to a GLP-1 receptor agonist, adding insulin therapy, or considering other medication classes based on your individual circumstances

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I consulted with my doc about how to eat so I could support my training: she said you must start eating carbs, and besides, keto is not a diet to be on FOR THE LONG-TERM.