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Im actually really worried about that, Hwang says

San Francisco, CA, USA: KFF, 2024

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Circulation 119(20):26632670 Vachiery JL et al (2013) Pulmonary hypertension due to left heart diseases

Patients should be provided with clear safety advice , including when to temporarily discontinue SGLT2 inhibitors (during acute illness, dehydration, or 3 days before surgery), recognition of DKA symptoms (nausea, vomiting, abdominal pain, unusual fatigue), and management of genitourinary infections

Additionally, inadequate sleep (adults generally need 7-9 hours nightly, according to NHS advice) and chronic stress elevate cortisol levels, which can promote central adiposity and interfere with weight loss