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Venom is actually a deadly cocktail of several substances including proteins, peptides and sugars that acts on different targets in the body, controlling how cells behave

GDMT for HFrEF typically includes evidence-based beta-blockers, angiotensin receptor neprilysin inhibitors (ARNIs), angiotensin receptor blockers (ARBs), angiotensin-converting enzyme (ACE) inhibitors, mineralocorticoid receptor antagonists (MRA), and sodium-glucose cotransporter 2 inhibitors (SGLT2is), particularly in patients with obesity or T2DM [53]

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Understanding what to expect during treatment and when to seek medical advice can help patients navigate these physical changes with confidence

I practise clinically at Imperial College Healthcare NHS Trust and also carry out a fortnightly private clinic at Cleveland Clinic London

This typically amounts to less than 0.5 to 1 unit and is generally negligible for weekly dosing