Ivanova et al., 2020)
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If everyone seems to be balancing hormones, starting HRT or experimenting with peptides, it can create the feeling that you should be too
Depending on the initial cause of the spinal stenosis, an instrumented fusion may also be needed.
Metformin is commonly used as first-line therapy unless contraindicated or poorly tolerated, but the addition of glucose-lowering therapies with different mechanisms of action is usually needed to provide adequate glycemic control [1,2,3], with the choice of agent being dependent on multiple factors, such as cost and the presence of comorbidities [1]
There is no clinically significant interaction listed in UK SmPC/BNF, though both agents affect the gastrointestinal system, which warrants careful consideration