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Description
Insulin resistance in this group of patients results from defects at the molecular level, including impaired insulin receptor-related signaling pathways enhanced by obesity and its features: Excess visceral fat, chronic inflammation, and reactive oxygen species
Increased heart rate : Some patients may experience tachycardia (rapid heart rate)

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Clinical trials show that doses at this level produce measurable weight reduction and blood glucose improvements, though responses vary considerably between individuals

People who strongly prefer oral medication, travel frequently, or dislike injections may lean toward tablets
