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Advise adults with type 2 diabetes who are taking an SGLT-2 inhibitor that a very low carbohydrate or ketogenic diet would increase their risk of DKA and so: they should speak with their healthcare professional before starting such a diet, and their SGLT-2 inhibitor treatment may need to be suspended for the duration of the diet

Sometimes the answer is phentermine as a short jump-start, sometimes a GLP-1 for the longer arc, and sometimes a sequence

doi: 10.1186/s12877-020-1472-9 543 JoynerMJ

Kaywaan and his clinical team monitored my progress carefully, adjusted my dosage when appropriate, and provided clear aftercare guidance throughout