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Reducing the dose of insulin secretagogue or insulin may be necessary

Subclinical Vascular Inflammation Driver: Silent, chronic systemic inflammation drives the vast majority of age-related cardiovascular, neurodegenerative, and joint diseases in individuals over 50

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Combining 2 to 3 grams of each may offer synergistic nitric oxide support

Some patients may experience: Nausea Constipation Diarrhea Bloating Fatigue Reduced appetite Medical supervision is important because providers can monitor symptoms, adjust dosage when necessary, and help patients manage treatment safely