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This specialist oversight is non-negotiable for safety, especially when managing the complex intersection of glucose control and significant weight reduction

But the landscape is evolving rapidly

More stringent sodium restriction (such as 1,500 mg daily) may be individualized for those with hypertension, heart failure, or existing fluid retention issues, based on clinical guidelines from cardiovascular societies

Insulin and Estrogen Connection : High insulin levels can disrupt hormone balance and increase estrogen production

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