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In populations that largely did not suffer from HF at the time of the enrolment, treatment with empagliflozin, canagliflozin and dapagliflozin had been able to decrease the risk of new-onset HF events by about 30%

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Vaccari C, Grotto D, Pereira TDV, de Camargo JLV, Lopes LC
typically improve with gradual dose titration and lifestyle support

If you haven't seen the desired results despite your best efforts during this time, it strengthens the case for medical necessity when you ask for medication approval

Ann Intern Med 174(11):15281541
