Moreover, in AWARD-10, an HbA1c reduction higher than reported could have been potentially achieved: a 0.54% HbA1c reduction was observed in the placebo arm, which could also represent a carry-over effect of the late introduction of SGLT2i in many patients (i.e., 36 months before study entry) 18
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And even when systemic estrogen isnt appropriate, there are still effective ways to support cardiovascular health. Without estrogens steadying influence, changes in fat distribution, blood sugar regulation, and inflammation may become more pronounced
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