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SGLT-2 inhibitors, such as empagliflozin, canagliflozin and dapagliflozin, are considered to have intermediate efficacy for glycemic control, and are associated with weight loss and a low risk of hypoglycemia [6]

10.1097/01.hs9.0000845856.56702.e6 148 Osanai-SasakawaA.HosomiK.SumitomoY.TakizawaT.Tomura-SurukiS.ImaizumiM.et al (2018)

Front Endocrinol (Lausanne) 2017;8:6.ArticlePubMedPMC 70

Depending on an individuals symptoms and health history, I might look into: Testing for inflammatory and autoimmune markers: Identifying antibodies can help us figure out whats going on with the immune system

At 10mg/mL, 20 units contains 2mg