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T2D can be prevented by maintaining a healthy weight, getting regular exercise, and eating a balanced diet rich in fruits and vegetables and low in harmful fats and carbs [24], and if blood sugar levels are not sufficiently reduced, the medicine metformin is usually advised [25]
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Patients should: Follow the dose escalation schedule to minimise side effects Attend regular follow-up appointments to monitor progress and safety Engage with dietetic support to ensure adequate nutrition whilst reducing calorie intake Combine medication with increased physical activity (aim for 150 minutes moderate-intensity exercise weekly, plus muscle-strengthening activities on at least 2 days per week, as per UK Chief Medical Officers' guidelines) Structured lifestyle programmes : NICE recommends multicomponent interventions including dietary modification, physical activity, and behavioural strategies
Many begin to show symptoms of ageing at this point: fine wrinkles, dull skin, reduced energy, etc
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