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Clinically used in oncology support protocols to reduce oxidative stress, aid recovery, and support immune function during and after treatment
It can be a powerful tool, but long-term success depends on medical oversight, nutrition, muscle preservation, realistic expectations, and follow-up care
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]
1,4 "Type 2 diabetes care isn't onesizefitsall, and how a medicine fits into someone's daily life really matters," said David Kayne, MD, CDCES, Partner at the Cedars-Sinai Medical Group, Encino, CA
