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doi: 10.1016/j.cmet.2023.11.009 269 McLeanBAWongCKKaurKDSeeleyRJDruckerDJ

D is a 65-year-old woman with a medical history of type 2 diabetes and hypothyroidism who presents to outpatient physical therapy for shoulder pain

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Self-directed combination without medical supervision is not recommended, particularly for individuals with diabetes who require careful glucose monitoring and medication adjustment