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If you have type 2 diabetes and use a sulfonylurea (e.g., glipizide, glimepiride, glyburide) or insulin, then consult your primary healthcare provider and/or endocrinologist to ensure the treatment is safe for you with careful monitoring

You have heart failure or significant kidney disease, because extra fluids and electrolytes can strain these organs and must be managed by your specialist

Treatment of myocarditis is generally supportive

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At this maintenance level, significant weight loss can be achieved, reducing many of the health risks associated with obesity or overweight conditions