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If SGLT2i treatment is not tolerated or not appropriate (the patient has an eGFR outside of the licensed range, for example), then a GLP-1 RA with demonstrated CV outcome benefit should be used [101]
Additionally, a phase 2 trial of patients with type 2 diabetes has shown tirzepatide improves cardiovascular biomarkers [59, 60]
You will be able to find it in several food options, and can also supplement by using glutathione injections and patches
However, secondary preventative interventions such as antiplatelet drugs, -blockers, angiotensin-converting-enzyme (ACE) inhibitors, angiotensin-receptor blockers (ARBs), and HMG-CoA reductase inhibitors (statins) have been shown to significantly reduce CVD risk [3]
