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10.1016/j.pmpp.2013.08.005 95 LiaoW.JiL.WangJ.ChenZ.YeM.MaH.et al
It is important to recognise that tiredness can arise from multiple factors, including the underlying condition being treated (type 2 diabetes itself), changes in eating patterns due to reduced appetite, gastrointestinal side effects affecting nutrition, or concurrent medications
Review articles must distinguish clearly between established evidence, emerging hypotheses, and speculative opportunities
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Nutritional monitoring is important if appetite reduction is significant
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