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Patients should be educated to temporarily discontinue SGLT2 inhibitors during periods of acute illness, before planned surgery (stop 3 days before major procedures requiring fasting), or if experiencing persistent vomiting
Severe cases above 9% body weight loss need IV fluids, not more drinking water, to recover safely
Metabolic Impact: Theres evidence that L-Carnitine can support weight loss efforts in the long term by increasing fat metabolism, though results can vary
10.3389/fmed.2020.620102 158 SteenbergenL.SellaroR.Van HemertS.BoschJ
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