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Sodium-glucose transport protein 2 (SGLT2) inhibitors

Monitoring includes periodic HbA1c measurement, weight tracking, assessment for adverse effects, and evaluation of diabetic retinopathy status (particularly with semaglutide)

Patients should prioritize protein intake to preserve lean body mass during weight loss, aiming for 1.0-1.5 grams per kilogram of ideal body weight daily (lower for those with chronic kidney disease), distributed across meals

Kefir consumption alters gut and oral microbiome Previous studies have shown varied effects after kefir consumption

Similarly, quercetin, a flavonoid found in onions, apples, and berries, can be converted by the gut microbiota into isoflavones, which have been shown to have estrogen-like properties and may play a role in preventing osteoporosis and cardiovascular diseases (Vladimir-Kneevi et al., 2012)

Research suggests oral semaglutide may cause more side effects than injectables