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The exact formulation may vary based on provider evaluation, pharmacy availability and the individualized treatment plan
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Importantly, tricyclic antidepressants, especially amitriptyline and nortriptyline, worsen the metabolic profile, increasing insulin resistance, contributing to weight gain and causing hyperglycemia, thereby increasing the risk of diabetes with prolonged use [77]
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These symptoms may resolve independently within a few days to a week
Berberine is a plant-derived alkaloid supplement that may influence glucose metabolism through AMPK activation, but is not licensed as a medicine in the UK
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