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Be particularly cautious if you have advanced liver disease (such as NASH with significant fibrosis or cirrhosis)

E-Posters - RISK FACTORS - PRIMARY AND SECONDAR PREVENTION 05.00 - RISK FACTORS AND PREVENTION (PRIMARY AND SECONDARY) - 05.02 - SECONDARY PREVENTION P2463 - ESOC25-203 SECONDARY PREVENTION IN STROKE AND TIA PATIENTS UNDER DOACS IN NORTHEREN ISRAEL: A CASE-BY-CASE APPROACH Adi Shemesh 1 , Sivan Bloch 1 1 Carmel medical center, Haifa, Israel Background and Aims: Patients with atrial fibrillation (AF) are at increased risk for CVA & TIA 1 , and those who suffer a breakthrough CVA/TIA while on direct oral anticoagulants (DOACs) are challenging to treat 15

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When combined with insulin or sulfonylureas, dose adjustments of these medications are frequently necessary to reduce the risk of hypoglycemia, as the glucose-lowering effects may be additive

So if you have issues now, or you have had them in the past, speak to your doctor to check if its right for you