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Within two months, he reduced his A1C to 5.6, just below the prediabetes threshold of 5.7

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Sanyal AJ, Kaplan LM, Frias JP, et al

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Fatigue may occur because the body is adjusting to treatment, but it may also reflect under-eating, low protein intake, dehydration, electrolyte changes, rapid weight loss, poor sleep, constipation, low blood sugar, low blood pressure, or another medical issue

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