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This timeline allows for reasonable self-management attempts while preventing prolonged discomfort and potential complications

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Bariatric Surgery: Invasive and requires significant recovery time

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Januvia remains a reasonable choice for patients who prioritise tolerability, lower cost ($500 vs $936/month), or who have mild type 2 diabetes requiring modest blood sugar control

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Achyranthes bidentata polysaccharide ameliorates type 2 diabetes mellitus by gut microbiota-derived short-chain fatty acids-induced activation of the GLP-1/GLP-1R/cAMP/PKA/CREB/INS pathway

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