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I would say that decision is entirely up to you but no matter what you do, I would strongly consider looking into something like this FIRST: Step #1
Gillingham M, Van Calcar S, Ney D, Wolff J, Harding C: Dietary management of long-chain 3-hydroxyacyl-CoA dehydrogenase deficiency (LCHADD)
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87 , found that, although metformin use was associated with a modest reduction in dementia risk, GLP-1 analogs, DPP-4 inhibitors, and SGLT-2 inhibitors showed stronger protective associations in a nationwide Danish cohort 87
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