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Yes, SGLT2 inhibitors should be temporarily discontinued 3 days before major surgical procedures requiring fasting and during acute illness, particularly if experiencing reduced food intake, dehydration, or persistent vomiting

Finally, the authors of the previously mentioned review, Adeoye O et al , went on to state that glutathione (GSH) may have an important impact on is autoimmune issues

Brit J Clin Pharmaco (2016) 81(4):61320

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A recent review by Feng et al

Seek immediate medical attention if you experience severe persistent abdominal pain (especially if radiating to your back), persistent vomiting, inability to keep fluids down, dark urine, dizziness, fainting, fever, or yellowing of the skin or eyes