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Dietary patterns, medication exposure (particularly antibiotics), physical activity, sleep, host genetics, and environmental factors all contribute to shaping microbial composition and function

Other glucose-lowering medication classes that may be considered include: SGLT2 inhibitors (e.g., dapagliflozin, empagliflozin), which offer cardiovascular and renal benefits with a different side effect profile (primarily genital infections and increased urination)

#Biosimilars play a critical role in making advanced treatments more affordable and widely available - especially in markets like India, where scale and access matter deeply
