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Patients with diabetes or those on drugs that affect blood sugar levels may require a more cautious approach to dose adjustments to avoid complications

There are still very few patient-specific exceptions

doi: 10.1007/s00592-021-01765-z 162 KangMKangERyuHHongYHanSSParkSKet al

Some patients maintain steady progress for a full year, while others hit a plateau as early as four months
