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Past medical history: T2D Hypertension Hypercholesterolemia History of coronary artery bypass graft (CABG) in January of 2019 Peripheral vascular disease Obesity Current medications : Metformin ER 1000 mg by mouth twice daily Linagliptin 5 mg by mouth once daily Rosuvastatin 20 mg by mouth once daily Lisinopril 20 mg by mouth once daily Amlodipine 10 mg by mouth once daily ASA (aspirin) 81 mg by mouth once daily Multivitamin by mouth once daily Social history : Lives with his wife of 36 years Works full time as a software engineer Reports no history of tobacco use Reports consuming alcohol infrequently

We consider increasing after a couple weeks, if people need it, to half of the lowest dose

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According to patient reports, some individuals experience a persistent feeling of being cold throughout the day, with extremities that feel significantly colder than their core body