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Important Consideration: While spironolactone offers many benefits, it also requires: Regular blood work monitoring (potassium and kidney function) Effective birth control (if of childbearing age) Patience results take 6-12+ months Realistic expectations primarily stops progression rather than dramatic regrowth Commitment to ongoing use stopping results in return of hair loss Awareness of side effects and hormonal effects Your healthcare provider will help you determine whether spironolactone's benefits outweigh the considerations for your specific situation

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Nevertheless, the European Medicines Agency (EMA) approved Forxiga (dapagliflozin) and Zynquista (sotagliflozin) for adults with type 1 diabetes in 2019

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1: Yuan Y, Spate LD, Redel BK, Tian Y, Zhou J, Prather RS, Roberts RM