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Together, these findings suggest that microvascular dysfunction and subclinical coronary atherosclerosis may contribute to early systolic impairment in type 2 diabetes, long before clinical cardiovascular disease becomes evident

Sugar and refined carbohydrates Large, high-sugar meals can cause swings in blood sugar and adrenaline, which may feel like a racing heart, shakiness, or anxiety

Table 3 Urinary saturation indices before and after weight loss treatment Discussion An increasing population of obese patients with nephrolithiasis is seeking weight loss through various surgical, dietary, and pharmacological therapies

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