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In addition, drug interactions may occur with: Insulin or sulfonylureas (increased risk of hypoglycemia) Other medications slowed by delayed gastric emptying Always consult with a healthcare provider before starting any new medication

B-vitamins, particularly Vitamin B12 , are known for their role in energy metabolism

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Research indicates that excessively hyperplastic and dysfunctional EAT exerts adverse cardiac effects primarily through two pathways: first, by serving as a source of pro-inflammatory mediators, and second, through direct cardiac mechanical effects, ultimately promoting cardiovascular disease (82)

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