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A further study in China also demonstrated that regular almond consumption resulted in lower levels of fasting insulin and fasting glucose, so it would appear that including almonds as part of a healthy diet may be beneficial for those with diabetes

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You can always escalate to tirzepatide later if needed

Testosterone can also cause edema (fluid retention), especially in those with heart, liver, or kidney impairment, potentially worsening conditions like congestive heart failure