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If you miss a week, its best to resume use as soon as possible

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10.1016/j.scitotenv.2023.162101 219 Jimnez-ArroyoC.TamargoA.MolineroN.ReinosaJ

This approach would typically involve close monitoring by a healthcare provider to ensure that the lower doses are still effective in managing blood sugar and that the patient remains safe from potential side effects