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Pregnancy increases the risk of uteroplacental thrombosis in a hypercoagulable state because of coagulation factors, regulators, and fibrinolytic system changes

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[26] Although glutamine has no effect on the proliferation of tumor cells, it is still possible that glutamine supplementation may be detrimental in some cancer types

Check fasting glucose daily Check pre-meal and 2-hour post-meal glucose at least once daily Record all hypoglycemia events (glucose below 70 mg/dL) If fasting glucose drops below 80 mg/dL on 2+ consecutive days, reduce basal insulin by another 10% If post-meal glucose is consistently below 120 mg/dL, reduce bolus insulin by another 10 to 20% Step 4: Semaglutide dose escalation adjustments (every 4 weeks)