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Signs include extreme tiredness, light sensitivity, headaches, muscle and joint pain, difficulty thinking/concentrating, mood swings and depression

With respect to ALT, there was a mean reduction that reached the threshold of statistical significance (mean deviation [MD] = 10.84

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Tiredness may arise from various factors, including the underlying diabetes itself, changes in eating patterns due to reduced appetite, gastrointestinal side effects, or the body adjusting to improved blood glucose control

Avoid lying down immediately after eating : Remaining upright for at least 23 hours after meals can help reduce nausea