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If you're also taking insulin or sulfonylureas for diabetes, you may need medication adjustments to prevent hypoglycemia when reducing calorie intake
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Additionally, lower HbA 1c targets when achieved with GLP-1RAs are not harmful in older adults, unless accompanied by increased risk of hypoglycemia
Optimise Your Diet Prioritize whole foods rich in natural folate, B vitamins, and methylation cofactors: Folate-rich foods: Leafy greens (spinach, kale, romaine), asparagus, broccoli, Brussels sprouts, avocado, legumes (lentils, chickpeas, black beans) Choline sources: Eggs, salmon, liver, beef, chicken, cauliflower B12-rich foods: Meat, fish, shellfish, eggs, dairy products B6 sources: Poultry, fish, potatoes, chickpeas, bananas Magnesium: Pumpkin seeds, almonds, spinach, dark chocolate, avocado Critically important: Avoid synthetic folic acid found in fortified foods and standard multivitamins
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