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May 1 2023;159(5):518-525

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Jardiance (empagliflozin) SGLT-2 inhibitor commonly used as oral step therapy before Ozempic PA

It is a natural sugar which the canine body produces on its own but which can be depleted when the stressful forces of mitral valve disease (MVD) begin to drain the heart of its ability to compensate for the affects of mitral valve regurgitation

If weight loss treatment has brought you below this threshold, you would be temporarily ineligible regardless of the medication itself

Diuretics and medications affecting the renin-angiotensin system are particularly likely to require adjustment as metabolic improvements occur