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thus, less aggressive management, including active surveillance, local therapy, and palliative therapy, should be considered first

In fact, not all atherosclerotic plaques become calcified

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Your GP or diabetes specialist can help you develop a safe discontinuation plan if appropriate, which may include transitioning to alternative medications, intensifying lifestyle interventions, or implementing more frequent monitoring of blood glucose levels (typically HbA1c at around 3 months post-cessation, or earlier if symptoms develop)