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That fiber shortfall is a major driver of the constipation these medications are known for

Evidence in type 2 diabetes shows greater weight loss with the combo vs

Reda A, Veys K, Kadam P, Taranta A, Rega LR, Goffredo BM, Camps C, Besouw M, Cyr D, Albersen M, Spiessens C, de Wever L, Hamer R, Janssen MCH, DHauwers K, Wetzels A, Monnens L, van den Heuvel L, Goossens E, Levtchenko E (2021) Human and animal fertility studies in cystinosis reveal signs of obstructive azoospermia, an altered blood-testis barrier and a subtherapeutic effect of cysteamine in testis

It means staying active in a way that feels doable and enjoyable, whether thats walking, strength training, or dancing in your kitchen

Similarly, if you develop severe pelvic pain, particularly if associated with abnormal bleeding, fever, or vaginal discharge, seek same-day medical assessment to exclude pelvic infection or other acute gynaecological conditions