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This isnt about supraphysiologic dosesits about providing your body with what its lost in a natural rhythm

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(2010) Journal of Molecular Endocrinology

Association of British Clinical Diabetologists (ABCD) and Diabetes UK joint position statement and recommendations on the use of sodium-glucose cotransporter inhibitors with insulin for treatment of type 1 diabetes (Updated October 2020)

HIF- is hydroxylated by prolyl hydroxylases (PHDs) that are recognized by the von HippelLindau protein (pVHL), causing HIF- to be ubiquitinated and degraded by the proteasome