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The EMPA-TROPISM25 study (HFrEF patients, mean EF 36%) found that structural and functional changes due to ventricular remodeling were associated with improvements in functional capacity and quality of life, as measured by the KCCQ.26 These results, together with the DEFINE-HF,27 DAPA-HF, and EMPEROR-Reduced findings, further strengthen the concept of a class effect with SGLT2 inhibitors, this time in terms of quality of life

Based on their findings, they recommend the use of the MCT diet and EN as the primary treatment choice, favoring these options over fasting, parenteral nutrition, or octreotide

Rare but serious risks include pancreatitis, gallbladder disease, and dehydration

Libido Enhancement is often paired with hormone evaluation, stress and sleep work, GLP1 or metabolic support (when weight or body image affect desire), and relationshipcentered coaching resources