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If hemoglobin A1c (HbA1c) level is less than 1% from the individualized HbA1c target for a patient, metformin with or without sulfonylurea (depending on contraindication or intolerance) in combination with an -glucosidase inhibitor or a DPP4 inhibitor is recommended [4]

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Avoid excessive caffeine intake, as this can independently increase heart rate and may compound any medication effects

For patients and prescribers interested in using this Glutathione/Tranexamic Acid topical cream, it is essential to consider the patient's overall skin health, any existing skin conditions, and their suitability for this particular treatment

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