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ASCVD STRATEGY (Established cardiovascular disease) Triple therapy preferred Metformin SGLT2 inhibitor GLP-1 receptor agonist (example: semaglutide) Goal: cardiovascular protection + glucose control 3

Monitor closely: Weight, appetite, sideeffects, and bloodwork

Authors contributions Conceptualization, methodology, writing - original draft: Rodrguez-Gonzlez IC Conceptualization, project administration, writing - original draft: Botello-Villagrana F Investigation, writing - review and editing: Gomez-Villalobos SR, Gonzlez-Cant A, Gonzlez-Gonzlez M Investigation, visualization, writing - original draft: Torres-Mancilla XM, Robles E Methodology, visualization, writing - original draft: Luna-Range FA, Gonzalez-Bedolla B Conceptualization, supervision, writing - review and editing: Martinez-Ramirez D All authors of this manuscript meet the authorship criteria established by the International Committee of Medical Journal Editors (ICMJE)

But neither of these replaces hydration, fiber, and movement - those are the foundation

She has been a Nurse Injector since 2018 and enjoys exercising, reading, and playing outside with her family

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