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Contraindications โข Peptic ulcer disease โข GI bleeding โข Severe renal impairment โข Uncontrolled hypertension or heart failure โข NSAID-induced asthma โข Coagulopathies โข Third trimester of pregnancy โ 8
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Fasting insulin and HOMA-IR are particularly sensitive to lifestyle, dietary, and pharmacological intervention โ they can shift meaningfully within months and serve as useful signals that a management approach is working (or isn't)
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