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Metformin in patients with type 2 diabetes and kidney disease: A systematic review

Dietary modifications should focus on: Reducing refined carbohydrates and added sugars, particularly fructose Limiting saturated fats whilst incorporating omega-3 fatty acids Increasing consumption of vegetables, whole grains, and lean proteins Following a Mediterranean-style diet, which evidence suggests benefits liver health Avoiding excessive caloric intake and processed foods Adhering to UK Chief Medical Officers' low-risk drinking guidelines (14 units per week or less, spread over 3 or more days)

They may try to increase the likelihood of approval on the second try by including additional documentation or further evidence of medical necessity

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