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Carmel R (2000) Current concepts in cobalamin deficiency

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Although combined therapy is still not common practice because of the relatively recent regulatory approval, these studies highlight the potential of dual GLP-1 RA + SGLT2i therapy to synergistically reduce cardiovascular disease and decelerate renal decompensation [75]

This treatment doesnt reverse heart dilation, but it can help to support heart function and aid with nutrient transportation