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If you are taking any oral medications to treat pre-existing acne, you will want to stop these and discuss them with your doctor

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Over time, excessive carbohydrate intake and insulin resistance can make it harder for the body to burn sugar efficiently, often leading to increased fat storage and metabolic imbalance

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Furthermore, our safety analysis was limited to gastrointestinal AEs and serious AEs, as other off-target effects such as hypoglycaemia, pancreatitis or cardiovascular events were either not uniformly reported or not quantified across the included studies