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Someone on lithium needs a different approach

It is primarily available for research purposes, and its use in humans carries regulatory and safety considerations

It is intended exclusively for in vitro studies, biochemical assays, and preclinical experimental models conducted by qualified research personnel

SGLT2 inhibitors (sodium-glucose cotransporter-2 inhibitors) such as empagliflozin, dapagliflozin, and canagliflozin represent excellent alternatives, providing cardiovascular and renal protection alongside modest weight loss (typically 2-4 kg)

Adequate protein intake Exercise is one piece of the puzzle, along with diet