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We still dont have a great answer for exactly why this occurs

That can affect strength, metabolic health, and how you feel day to day

However, current American Diabetes Association (ADA) and American College of Cardiology/American Heart Association (ACC/AHA) guidelines no longer routinely recommend niacin for cardiovascular risk reduction due to lack of demonstrated outcome benefits and potential adverse effects

Current literature on the relationship between GLP-1 RA use and fracture risk is inconsistent, with studies reporting neutral, protective, or harmful effects (7)

So, my A1C would fluctuate. Having watched family members with diabetes struggle with insulin injections, that was the one thing Adcock dreaded and wished to avoid