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Focus on consuming whole foods that are rich in essential nutrients, such as fruits, vegetables, lean proteins, and whole grains

Alternative oral medications include: Metformin : typically the first-line treatment for type 2 diabetes, working by reducing glucose production in the liver and improving insulin sensitivity SGLT2 inhibitors (such as dapagliflozin, empagliflozin, or canagliflozin): these work by increasing glucose excretion through the kidneys and offer cardiovascular and renal benefits [8] [20] DPP-4 inhibitors (such as sitagliptin, linagliptin, or saxagliptin): these enhance the body's own incretin system with a lower risk of hypoglycaemia Sulfonylureas (such as gliclazide): these stimulate insulin release but carry a risk of hypoglycaemia and weight gain Thiazolidinediones (pioglitazone): improves insulin sensitivity but may cause fluid retention and weight gain Injectable alternatives : Other GLP-1 receptor agonists : such as liraglutide, dulaglutide, or exenatide may be considered, but if you have had a confirmed allergic reaction to semaglutide specifically, other semaglutide products should be avoided

For constipation: Gradually increase dietary fiber intake to 2530 grams daily through vegetables, fruits, whole grains, and legumes