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We have food in abundance in this country, and that easy accessibility, alongside overfull calendars, often leads to too much energy without enough opportunities to use that energy efficiently

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Place most starches earlier in the day or near your training sessions

For most adults, initial dual therapy is recommended: Metformin + SGLT-2 inhibitor Treatment should then be individualized based on comorbidities: Atherosclerotic cardiovascular disease: consider adding GLP-1 receptor agonists such as semaglutide Chronic kidney disease: SGLT-2 inhibitors remain foundational, with DPP-4 inhibitors as additional options when needed