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[DOI] [PMC free article] [PubMed] [Google Scholar] 187.Jerlhag E

Musculoskeletal factors unrelated to medication: Type 2 diabetes itself is associated with increased prevalence of musculoskeletal conditions, including back pain, due to factors such as diabetic neuropathy, reduced physical activity, obesity, and inflammatory processes

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Without enough stimulus or nutrition, your body doesnt just burn fat, it also breaks down muscle tissue
Studies show that gradual dose tapering produces better long-term outcomes than abrupt cessation

typically improve over time