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Ironically, it is the unprecedented success of these medications that has the team worried

Torekov SS, Holst JJ, Ehlers MR

One 2026 narrative review concluded that GLP-1 receptor agonist therapy is associated with meaningful nutritional deficiencies and that individualized nutritional assessment and lab evaluation may be appropriate, especially in people at higher risk of malnutrition

Decreased carotid atherosclerotic process by control of daily acute glucose fluctuations in diabetic patients treated by DPP-IV inhibitors

In type 2 diabetes, persistent sweet-smelling urine may be more tied to glucose spilling into the urine, though ketones can still occur during severe illness or significant insulin deficiency