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Gently roll the vial to mix if needed

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About 3,000 adults with elevated fasting glucose were randomized to: - Lifestyle intervention group (150 minutes of moderate exercise / week + a low-calorie, low-fat diet) - Metformin (up to 850 mg twice daily, depending on tolerance) - Placebo Compared to placebo

After exercise always check that the lameness has not returned, and the horse is still moving comfortably

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