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Look for folate in forms like folinic acid or methylfolate

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3.2 Adherence to Interventions After the low-calorie diet, the structured exercise program started with a gradual increase in exercise volume over the first 6 weeks after randomization

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The initiation of insulin is recommended when severe hyperglycemia (more than 9% HbA1c) is detected at diagnosis, especially if hyperglycemic symptoms (polyuria or polydipsia) or any catabolic features (weight loss or ketosis) are present