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When Anxiety Means You Should Contact Your Provider Persistent chest pressure Panic episodes Heart rate consistently elevated beyond 20 bpm above baseline Inability to eat adequately Thoughts of discontinuing the medication due to discomfort A dose reduction or slower titration schedule can often resolve the issue

my blood sugar is back to normal

Diabetes leads to vascular changes and dysfunction, as well as complications that result in increased morbidity and mortality (1)

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It occupies a niche almost nothing else does, it feeds the bacteria that produce butyrate, and in a human trial it raised GLP-1, a hormone central to appetite and blood sugar

Here is an NPR story I was part of a few months back on this same topic