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Healthcare professionals should review the dose escalation schedule if gastrointestinal symptoms are particularly troublesome

Progression to triple therapy is recommended if the A1C level is above goal after three months of dual therapy

However, currently the use of GLP-1 RAs is not recommended as treatment of MASLD.(3) The American Diabetes Association 2025 guidelines similarly state GLP-1 RAs are recommended in adults with diabetes, obesity, and MASLD in combination with diet and exercise for weight loss

Doctors check what causes low B12 before starting treatment

You should go to an urgent care clinic or emergency room right away if you have any of the following symptoms in addition to blood in your stool: Dizziness Severe or worsening abdominal pain Vomiting blood Weight loss Key points You need to see a doctor any time you see blood in your stool

But here's the thing - we're all different