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The British Journal of Nutrition

While some patients and clinics report benefits like more energy or less nausea, no large clinical trials have been conducted to confirm these claims

Early warning signs of hypoglycemia may be less obvious in patients with hypoglycemia unawareness which can be due to a long history of diabetes (where deficiencies in the release or response to counter regulatory hormones exist), with autonomic neuropathy, intensified diabetes control, or taking beta-blockers, guanethidine, or reserpine
