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They avoid the effects of first-pass metabolism on oral sprays

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1, these results are a call to action for all endocrinologists to recognize MASLD with clinically significant fibrosis as a common complication of type 2 diabetes in need of an early diagnosis, consideration for eventual referral to the liver specialist if moderate or severe fibrosis is suspected based on noninvasive tests, and treatment to prevent future cirrhosis

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They may suggest adjusting your treatment plan or investigating other potential causes such as oral thrush or dental issues