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Yes, SGLT2 inhibitors increase urination and fluid loss, so you'll likely need additional hydration beyond standard recommendations when combining these medications with GLP-1 therapy

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The preclinical literature supports this framing

Talk to your doctor before starting this treatment if you have a history of kidney disease, gout, or high levels of iron in your blood

I am receiving testosterone and peptide therapy from Alpha Hormones

It contains Vitamin B1 (Thiamine Hydrochloride), Vitamin B6 (Pyridoxine Hydrochloride), and Vitamin B12 (Cyanocobalamin)