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This chelation is critical: it effectively silences the metals free redox activity, preventing oxidative damage from unbound copper ions while maintaining bioavailability

The article says that alters fat absorption and can raise gastrointestinal sensitivity, and that these patients experience higher rates of bile acid malabsorption and altered microbial composition

For diabetes management, this includes HbA1c measurements every 36 months once stable, periodic review of blood glucose monitoring results, assessment of weight changes, and monitoring for signs of diabetic complications