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If the target HbA1c level has not been reached within 3 to 6 months, uptitration of existing medications, combination therapy using drugs with different mechanisms of action, or injection therapy should be actively considered as soon as possible

They have seen the trends come and go (remember the harsh alcohol toners of the 80s

(2004) Nutrition | doi:10.1016/j.nut.2004.04.003 Longo N, Frigeni M, Pasquali M.: Carnitine transport and fatty acid oxidation

No funding bodies had any role in study design, data collection and analysis, decision to publish, or preparation of the manuscript

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