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These medications operate through completely different biological pathways, meaning there is no direct chemical or receptor-level interaction between them
Combining them significantly increases the risk of hypoglycemia (low blood sugar), which can be dangerous

Fasting and diurnal blood ketonemia and glycemia responses to a six-week, energy-controlled ketogenic diet, supplemented with racemic R/S-BHB salts

Before this, I would get painfully hungry and overeat on a daily basis

While pancreatitis typically causes severe abdominal pain that radiates to the back, any significant internal inflammation can cause a general sense of body aching or discomfort that an individual might perceive as radiating into the lower extremities
