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The study used three conditions: fasting, a high carbohydrate meal (85% of energy from carbs), and a high protein meal (94% of energy from protein)

Table 1 Significantly altered biological functions in metformin treated SW837 cells

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Blood Sugar Swings In people with diabetesor those prone to reactive hypoglycemiaGLP-1 medications can cause: Rapid glucose shifts Subtle hypoglycemia Low or rapidly falling blood sugar often presents as: Irritability Anxiety Short temper Feeling on edge Patients may not recognize this as a blood sugar issue, especially if they are not using continuous glucose monitoring

Early post-marketing reports suggest similar rates of hair loss may apply, although published data is still limited