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questa forma prende anche il nome di zwitterione (ione ibrido, dal tedesco zwitter ermafrodita, essenzialmente una molecola elettricamente neutra che presenta al suo interno un ugual numero ciascuno di cariche formali positive e negative

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achieved: -Significant HbA1c reduction -Normalization of fasting glucose levels -Sustained weight loss of approximately 25 kg -Complete discontinuation of medications The outcomes reflect the impact of an integrated, data-driven digital care model in achieving metabolic remission through sustained lifestyle modification and clinical oversight