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Its not normal and its really complicated because it can be caused by a long range of lifestyle problems, medications, or conditions

Annals of the Rheumatic Diseases, 76(6), 960-977

The mean duration of type 2 diabetes was 4.2 years, and the mean BMI was 33 kg/m 2

For GLP-1 patients, this matters more than for general users

The second issue is that large (double-blinded, randomized, placebo-controlled) clinical trials did not show anywhere near the increased risk of these conditions described in the JAMA paper