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A clinician may consider it when a person with type 2 diabetes needs both metformin and an SGLT2 inhibitor as part of a broader plan

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GLP-1 medications work by mimicking a natural hormone in the body that regulates appetite and food intake, increasing feelings of fullness, reducing hunger, and slowing stomach emptying to support sustainable weight loss

Tracking your progress Beyond the scale, track metrics that reveal whether the niacinamide is providing any subjective benefit: Energy levels: Rate 1-10 daily, look for trends over weeks Skin quality: Photograph monthly under consistent lighting Sleep quality: Track duration and how rested you feel Exercise performance: Log weights, reps, cardio duration GI symptoms: Severity and frequency After 8-12 weeks, review these metrics with your provider