Abou-Khalil added that physicians could recommend ACV as part of lifestyle modifications for patients aiming to improve their metabolic health, alongside dietary changes and exercise. However, it's essential for physicians to counsel patients on proper dosage, potential side effects, and the importance of regular monitoring, especially for those on medication, he said
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Patients who were on a stable dose of metformin HCl (1500 mg/day) in combination with a DPP-4 inhibitor and/or sulfonylurea but with inadequate glycemic control (A1C 7.5% to 11%) were enrolled in the study
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Serious adverse events have not been widely reported, but this may reflect the relatively small number of people who have used the compound and the limited reporting mechanisms available