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Also when grocery shopping I was going to go pick up some donuts then a few steps away I decide no way I don't need them after all

6 Glycaemia management Intensive glycaemic management (glycated haemoglobin [HbA 1c ] less than 53 mmol/mol) delays the development and progression of albuminuria and slows the rate of eGFR decline and progression to end-stage kidney disease

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Starting with a lower dose and communicating frequently with both your neurologist and prescribing physician helps distinguish new medication effects from existing MS-related symptoms