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Even once we identified what appeared to be the safest and most cost-effective path for my family member, we were still tripped up by the systems inefficiencies

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Studies indicate that SGLT2i modulate the activity of the myocardial-specific sodium-hydrogen exchanger 1 (NHE1), thereby improving mitochondrial respiratory function, maintaining myocardial Ca homeostasis, and delaying the decline in contractile function [113,114,115]

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Realistic expectations prevent disappointment and help you evaluate results objectively