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Cofactor Biosynthesis

The glycosuria induced by these medications creates a glucose-rich urinary environment that can promote genital mycotic infections (thrush) in 1015% of patients, particularly women

doi: 10.1002/mnfr.202100206 77 Varela-ReyMIruarrizaga-LejarretaMLozanoJJAransayAMFernandezAFLavinJLet al

Choice depends on the patients goals and health profile

The move from blanket cessation to risk-adjusted continuation reflects improved understanding of therapeutic value, promoting shared decision-making and equity in care