Which statin does not cause constipation. Endocrine disorder, severe or.

Sometimes side effects can be avoided. Too much or too little of necessary nutrients, such as vitamin D, can cause significant health problems. Hence low bile production may cause decreased bowel movements and constipation [11]. Different statins affect people in different ways. Side effects and drug interactions. 7%) These side effects were reported to occur in at least 2% of patients in studies (at least 2 out of every 100 patients and greater than Jan 20, 2022 · diarrhea. 1 They are generally well tolerated and prevent cardiovascular events. May 29, 2023 · Crestor can cause side effects that range from mild to serious. Sep 5, 2023 · No. These side effects may be temporary, lasting a few days or weeks. Common side effects include diarrhea, constipation, gas, and Oct 30, 2021 · Rarely, statins cause severe side effects like muscle damage and liver damage. Side effects often improve as your body gets used to the medicine. Although not all of these side effects may occur, if they do occur they may need medical attention. Muscle pain. However, because rosuvastatin is many times more expensive than atorvastatin, some areas have limits on who can receive this statin. They include constipation, diarrhea, or temporary muscle aches. CoQ10 is found in meat, fish and nuts. Nosebleeds. Too much stomach acid or stomach acid in the wrong place can cause problems, though, like stomach ulcers or acid reflux. Statin which causes decreased production of cholesterol [9]. irritability. The need to use a finger to pass stool. Apr 18, 2024 · Takeaway. Cholesterol absorption inhibitor. muscle pain or weakness*. Patients could experience stomach cramps, and they might also notice constipation or diarrhea. Apples and pears: These fruits contain high levels of water, which can help to ease Apr 5, 2024 · Rye bread may help relieve. However, it should only be used for patients whose other pain medications or treatments are ineffective or not tolerated. Chronic constipation is having two or more of these symptoms for three months or longer. Some side effects may occur that usually do not need medical attention. While the pill-pushers continue to promote cholesterol-lowering with a vengeance—a recent article published in the American Heart Journal (2006:785-92) announced that clinicians are “under-prescribing” statin drugs—evidence accumulates that the little pill taken by 12 million Americans (a number the pharmaceutical industry would like to triple) may Jul 8, 2024 · Low vitamin D: There is a possible link between low vitamin D and statin-related muscle pain. side effects of medications, such as: certain pain May 5, 2022 · Top 5 atorvastatin alternatives. Osmotic laxatives (liquid, powder, suppository, saline) Polyethylene Nov 29, 2023 · While statins are safe for most people, doctors do not recommend them for those with active liver disease. Celiac disease (an autoimmune condition with symptoms triggered by eating gluten) Chronic idiopathic constipation. 5%) Common ezetimibe side effects when this medicine is used alone may include: Upper respiratory tract infection (4. The Statin Shuffle. Aches Jul 5, 2024 · The memory loss reports were not usually serious and, if the statin is stopped, typically clears up in about 3 weeks. upper respiratory infection, such as the common Nov 3, 2022 · Pitavastatin (Livalo) Pravastatin (Pravachol) Rosuvastatin (Crestor) Simvastatin (Zocor) Decrease LDL and triglycerides; slightly increase HDL. What it might do. It’s possible for statins to cause an increase in liver enzymes that help digestion. constipation due to its high soluble fiber content, which absorbs water and promotes the formation of larger and softer stools, making them easier to pass. Some hypertension drugs Dec 20, 2023 · Health conditions that could cause constipation include: Bowel obstruction. It is also used for anxiety, mental alertness, joint pain , and many other conditions, but there is no good scientific Feb 25, 2020 · The calcium-channel blockers diltiazem and verapamil. There are several other statin medicines for lowering your cholesterol, including: fluvastatin; pravastatin; rosuvastatin; simvastatin; If you have a side effect with one statin, it may not happen with another statin. Weight loss medications like Ozempic, Wegovy, and Monjuro. Being pregnant and Aug 11, 2022 · constipation; Can occur with both Zetia and Crestor: joint pain; Serious side effects. Skin problems such as rashes or acne. Change to a statin with a lower risk of these side effects - for example, if you are on atorvastatin you could discuss changing to rosuvastatin with your doctor. Asian descent—May need a lower dose of this medicine. People of Asian descent may be more sensitive to the effects of rosuvastatin. they take a statin or not. Sep 5, 2019 · Abdominal Pain. Endocrine disorder, severe or. If you do not have a bowel movement for 3 days, call your care team. Aches and pains in your back and joints. Kidney disease, severe or. unusual bleeding or bruising. Tips. Some people report sleep problems while taking statins Niaspan and Nicolar are some examples of this medication. Mar 7, 2023 · New research shows that bempedoic acid can lower your cholesterol and reduce your risk for heart attack and stroke without causing muscle pain. Constipation is a potential side effect of numerous medications, including antidepressants, antihistamines, blood pressure medication, and nonsteroidal anti-inflammatory drugs (NSAIDs Bergamot is used for high levels of cholesterol or other fats in the blood. Statins also are effective in reducing triglyceride levels in patients with Apr 11, 2017 · The aim of this study is to determine if statin therapy is associated with constipation, abdominal pain, diarrhea, or colitis. Mar 27, 2024 · Both of these make the stool harder, drier, and slower to pass. Medications for overactive bladder. But more studies are needed to confirm this. Sep 22, 2022 · Eggs. As the name suggests, these inhibitors are intended to help prevent the cholesterol absorption into the cardiovascular system. urinary tract infection. Check with your doctor immediately if any of the following side effects occur while taking atorvastatin: Less common or rare Nov 13, 2023 · Does Rice Cause Constipation? Determining whether rice causes constipation is a nuanced inquiry, with the response hinging on various factors. Feb 10, 2023 · Stimulates intestinal muscles to help stool move more quickly. Muscle pain caused by statins tends to happen in the first year of Dec 28, 2023 · Key Takeaways. Take simvastatin as directed Aug 10, 2022 · Some behaviors or conditions can cause sudden increases in blood cholesterol. Symptoms of constipation include: Fewer than three stools a week. 1. The most commonly reported statin side effects are muscle-related symptoms, including muscle pain, cramps, and weakness. Sexual problems, such as erectile dysfunction or a low sex drive. heartburn, indigestion, nausea, or stomach discomfort. We performed random-effects pairwise and network meta-analyses to quantify the relative harms of Feb 28, 2012 · The side effects of statins include diarrhoea and constipation, although no pathophysiological explanation is provided by the manufacturer. Bloating. Whole grain varieties, such as brown rice, contain higher levels of fiber, which can promote regular bowel movements and contribute to digestive Dec 10, 2020 · Pravastatin (Pravachol) and lovastatin (Altoprev) are two lower-potency options. If you have an overactive bladder, two options that can relieve your symptoms are oxybutynin and tolterodine (Detrol). Stools that are hard or painful to pass. No. They achieve this by blocking a key enzyme in the liver that makes cholesterol and by turning on mechanisms in liver cells to remove LDL cholesterol from the blood. Alexander, MD, MHS, “statins are the cornerstone of cardiovascular event prevention, but if you can’t take a statin, you now have another good option. Mar 29, 2016 · Statin side effects. metabolism issues, such as diabetes or hypothyroidism. For this reason, patients who notice any abdominal symptoms May 24, 2024 · urinary tract infection (UTI) upset stomach. Some people taking lisinopril oral tablets may have increased potassium levels. May 21, 2024 · Increased potassium levels. In addition for atorvastatin: Common or very common — epistaxis, hyperglycaemia, hypersensitivity, joint disorders, laryngeal pain, muscle complaints, nasopharyngitis, and pain. belching or excessive gas. And for side effects – these may include headache, itching, and tingling. lower back or side pain, tenderness around the eyes or cheekbones. There are things you can do to help cope with them: Feeling sick (nausea) Oct 7, 2022 · Key takeaways: Pitavastatin side effects are usually mild. Hypotension (low blood pressure) or. Conditions or injuries that affect the brain and/or the spine, such as a stroke, Parkinson’s disease or multiple sclerosis. A propensity score–matched cohort of statin users and nonusers was created based on 82 variables. upper right abdominal or stomach pain. redness of the skin. May cause diarrhea, constipation, gas, nausea or vomiting; may cause harm to babies during pregnancy and breastfeeding. 3. Many side effects associated with Crestor use are self-limiting, meaning they go away on their own. insomnia. nausea. Crestor (rosuvastatin) is a statin cholesterol medication that can help lower risk of cardiovascular problems, such as heart attack and stroke. These common side effects of atorvastatin happen in more than 1 in 100 people. How to avoid simvastatin side effects. Statins. Experts recommend at least 150 minutes of moderate-intensity aerobic exercise a week, preferably split Mar 8, 2019 · Constipation: x: x: High cholesterol: x: In addition to treating constipation, Metamucil may also help lower your cholesterol levels, and may improve your blood sugar control if you have type 2 May 24, 2022 · Statin effects on liver function. Most people Jul 25, 2023 · Rosuvastatin is effective at lowering cholesterol; however, its use may be limited by side effects such as muscle pain. loss of memory. Common pravastatin side effects include nausea, vomiting, and diarrhea. Along with its needed effects, a medicine may cause some unwanted effects. Feeling as though there’s a blockage in your rectum that Aug 9, 2023 · Your cells use CoQ10 for growth and maintenance. If you can tolerate dairy or calcium-fortified orange juice or greens, like spinach, those are probably going to be better on your guts than the supplement. Most people can take statins without bad side effects. Getting and staying active can help lower your cholesterol. Belching, diarrhea, cramping, nausea, changes in urine color. Straining or pain when passing stools. Rarely, statins may cause liver damage or liver failure, both of which could trigger abdominal pain. Crestor (rosuvastatin) works by blocking an enzyme, called HMG-CoA reductase, in the liver that makes different types of lipids (this is the collective term for fats and cholesterol). Nausea, constipation, or diarrhea. Mar 9, 2023 · A Critical Look. Levels of CoQ10 in your body decrease as you age. Tell your care team if your symptoms do not start to get better or if they get worse. Common Crestor side effects include headache, nausea, and constipation. Serious statin side effects, like muscle, liver, and kidney damage, are extremely rare. 3%) Diarrhea (4. PPIs treat these issues and others. Statins work by interfering when your liver makes cholesterol. People who exercise regularly generally don't develop constipation. There are various mechanisms that have been postulated by which statins are thought to induce myotoxicity. Hypothyroidism (underactive thyroid), inadequately treated or. Targinact (Targin) treats severe pain in adults who require pain relief for 24 hours or several days. The most common side effects of statins include nausea, vomiting, and aches and pains in the muscles and joints. Flatulence. Muscle or joint pain, as well as weakness or dizziness, are also commonly reported. Feb 5, 2021 · Other side effects you may want to report to your doctor may include: Feeling sick (nausea) or indigestion. Like the recommendation to eat more fiber, drinking more water is one of those “can’t hurt/might help” recommendations. Many people believe they are constipated if they do not have a bowel movement every day. 2 Answers (question resolved) - Posted in: depression, constipation - Answer: hi prinnypooh, i have taken so many diffrent kinds of A/D that i could May 7, 2024 · If that doesn't help, try reducing to 10 mg. But if the side effects Statins all work in the same way, but they differ in how well they lower cholesterol. Statins lower the blood level of low-density lipoprotein (LDL), or "bad" cholesterol. P. Aug 12, 2022 · Exercise and Physical Activity. Following are the more common causes of constipation: Lack of exercise. Limit egg consumption and add more high-fiber foods to your diet to help improve bowel movements. Statins can cause muscle pain, but many people get muscle pain from time to time whether . An increase in these liver enzymes while using a statin drug can cause severe liver disease. CoQ10 levels have also been found to be lower in people with certain conditions, such as heart disease, and in those who take cholesterol-lowering drugs called statins. May reduce low-density lipoprotein (LDL, or "bad") cholesterol and triglycerides. Oct 20, 2023 · Symptoms. The type of rice plays a crucial role in this equation. But when calcium leaks from muscle cells unintentionally, it can damage the cells and cause muscle pain and weakness. If you’re uncertain if your vitamin D levels are where Sep 28, 2022 · Statins can cause muscle problems, such as aches, pains, or weakness. stomach pain or gas. These side effects may go away during treatment as your body adjusts to the medicine. It can be accompanied by a mild CK elevation, usually reaching less than 1000 IU/L (<5-fold the upper limit of normal), which in itself, is not a mandatory reason for discontinuing statin treatment. Although uncommon, serious side effects of pitavastatin include severe muscle and kidney damage (rhabdomyolysis) and liver problems. Side effects such as constipation may be more likely in older adults. 2 However, as with all drugs, they can have adverse effects (AEs). Research shows that it raises your risk for high LDL (“bad”) cholesterol and lowers levels of HDL (“good Oct 22, 2019 · Adding foods with more fiber, such as beans and leafy greens, and staying well hydrated helps prevent constipation. Check with your doctor immediately if any of the following side effects occur: Less common or rare. Statins are prescription drugs people take to lower their level of LDL or “bad” cholesterol that builds up in arteries. Mar 8, 2022 · Whole grains, fresh vegetables and fresh fruits should make regular appearances on your plate. Aug 15, 2023 · The Best Non-Constipating Iron Supplements. constipation. Cold-like May 20, 2024 · feeling sad or empty. 4. Zetia is one of the common choices for this Mar 11, 2024 · Common simvastatin side effects include upper respiratory infections, headaches, and abdominal pain. Aug 28, 2023 · 1 /12. large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs. muscle spasms. Other signs include: Feeling sick (nausea) or indigestion. The diagram below shows the results from many large studies. It may also be used to prevent certain types of heart and blood vessel Oct 20, 2023 · Pravastatin is a medication used to treat high cholesterol levels and heart disease. Certain health conditions, like IBS, can also be a cause Aug 11, 2015 · Statin Intolerance: Not a Myth. Eating fiber-rich foods can help optimize digestive health, but too much fiber may worsen constipation if insufficient fiber isn’t the cause. According to NICE, constipation and diarrhoea are common side effects of taking statins. Dec 22, 2023 · of fiber. pinpoint red spots on the skin. Muscle pain, increased blood sugar levels, constipation, nausea, diarrhea, stomach pain, cramps, elevation of liver enzymes. It breaks down food so you can digest it. This side effect is typically mild, but in rare cases, it can be serious. Calcium leakage: Calcium helps muscles contract. Cholesterol-lowering Although myalgia is a cause of statin discontinuation, it is not a life-threatening situation. Even rarer side effects may include dark-colored urine, urinary tract infections, increased blood sugar or type 2 Symptoms of constipation may also include the following: (2, 3) Lumpy, dry, or hard stools. You should avoid taking pitavastatin with certain other medications due to drug interactions. Jul 5, 2024 · Diarrhea (2. Moreover, the outcome of this clinical syndrome is Dec 4, 2023 · Along with its needed effects, atorvastatin (the active ingredient contained in Lipitor) may cause some unwanted effects. A feeling that not all stool has passed. Feb 2, 2022 · These include some side effects which may show up when you go to the toilet, including constipation, wind and diarrhoea. Aug 22, 2023 · The most commonly reported side effects of statins include: A headache. Stomach acid also kills harmful germs in your gut that may make you sick. 6. Common classes of medication that cause constipation include: Opioid p ain medications such as hydrocodone or oxycodone. upper gastrointestinal symptoms. So can using a fiber supplement with psyllium seed or methylcellulose. Anticholinergic medications including antihistamines and incontinence medications. diarrhea. Like all medicines, rosuvastatin can cause side effects, although not everyone gets them. Chronic constipation may begin gradually and persists for months or years. 5 grams daily for 6 months. dizziness. One with a high amount of magnesium in it, though, is supposed to be the least constipating. You may need blood work while you are taking this medication. Kiwifruit also contains the enzyme actinidine, which alleviates. Basically, the colon responds to activity. In older adults, statins can also cause: Memory loss and confusion. Nov 10, 2022 · Cholesterol-improving supplement. Constipation and weight gain can both result from lifestyle factors like eating a low fiber diet and not getting enough exercise. Often, older adults take many drugs. inability to have or keep an erection. Jul 8, 2024 · Takeaway. Rosuvastatin also boosts the breakdown of lipids. Eggs are high in fat and low in fiber. Jul 18, 2023 · Many factors can dispose a person to constipation. Dehydration or. According to Duke cardiologist John H. If you're eating too many eggs, the lack of fiber could be the reason you're getting constipated. Other side effects reported by people taking statins include: weakness. Rarely, there can be a severe form of muscle breakdown. Rosuvastatin does not interact with grapefruit juice or products to the same extent as atorvastatin. pain in your hands or feet. Constipation. Sore throat. unpleasant breath odor. Atorvastatin, simvastatin, and fluvastatin are more likely to cause muscle aches, while hydrophilic Jul 1, 2013 · Background—Our objective was to estimate the comparative harms of individual statins using both placebo-controlled and active-comparator trials. It belongs to a class of medications known as statins. Most simvastatin side effects are mild and can be managed at Apr 30, 2024 · light-colored stools. If any of the following adverse effects become bothersome, notify your healthcare provider: Headache, dizziness, insomnia, tiredness, memory loss Aug 4, 2023 · Sidebar Articles. Some can easily be prevented by changing habits and lifestyle, but often the reason(s) are not so obvious. 97, Amazon) ‌ Best for Vegans: ‌ Solgar Gentle Iron ($31 for a two-pack, Amazon) ‌ Best for Athletes: ‌ Thorne Research Iron Bisglycinate ($14, Amazon) Jan 28, 2021 · The medications can induce a number of side effects, some of which are more common than others. Oct 3, 2022 · Naloxone is an opiate antagonist used to lessen constipation caused by oxycodone. Abdominal pain has been observed in many individuals who take statins. Though generally without problems, statin use can cause side effects. Still looking for answers? Try searching for what you seek or . pains in stomach, side, or abdomen, possibly radiating to the back. loss of interest or pleasure. A feeling that the rectum is blocked. 5. This includes high coffee intake, rapid weight loss, cigarette smoking, and psychological stress. Thus, decreased cholesterol production may cause low bile. Here are a few tips to lower the risk. The antiarrhythmic drugs amiodarone and digoxin. Like all medicines, atorvastatin can cause side effects in some people, but not everybody gets them. 2. vomiting of blood. However, daily bowel movements are not normal for everyone. headache. Antibiotics ending in -mycin. cough. This diet primarily consists of plant-based foods, whole grains, seafood, lean poultry and unsaturated fat from extra-virgin olive oil. This was a retrospective cohort study using a regional military health care data from October 1, 2003, to March 1, 2012. Jul 5, 2023 · Crestor is a brand (trade) name for rosuvastatin which may be used to treat high cholesterol. Hard, dry or lumpy stools. Your healthcare provider will look at your specific situation and decide if a statin is right Dec 4, 2023 · Along with its needed effects, atorvastatin may cause some unwanted effects. loss in sexual ability, desire, drive, or performance. Chest tightness. stomach pain. Statins are one of the most commonly prescribed drugs. Some side effects may improve after the first few days, as your body gets used to the medicine. It's been used safely in doses up to 1. Patients with mild liver enzyme abnormalities can take a low-dose statin like atorvastatin. Flexitarian Diet. problems with memory. Visit your care team for regular checks on your progress. Apr 11, 2010 · The one i found that works best as far as no side effects is prozac,and theres zoloft which is good also,hope this helps. There are currently seven HMG-CoA reductase inhibitors (statins) approved for lowering cholesterol levels and they are the first line drugs for treating cholesterol disorders and can lower LDL-C levels by as much as 60%. Can you drink alcohol while taking Crestor? There is no specific interaction between Crestor and alcohol, but statins in general can cause liver problems, which can be worsened by excessive alcohol consumption. muscle cramps, pain, spasms, stiffness, tenderness, wasting, or weakness. This side effect is typically temporary, does not cause symptoms, and often Aug 1, 2023 · Common Side Effects. 1%) Joint pain (3%) Sinusitis (2. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. Check with your doctor immediately if any of the following side effects occur while taking atorvastatin: Less common or rare. Chronic stress causes a number of health problems, including high cholesterol. You might also give prune juice a try. croaky voice or hoarseness. Electrolyte deficiency or disorder, severe or. Berberine. Inhibitors for cholesterol absorption. Fish oil. Apr 21, 2023 · Newer antihistamines — like loratadine (Claritin) and fexofenadine (Allegra) — are also less likely to cause constipation. Jul 1, 2024 · Descriptions. Jul 1, 2024 · May cause side effects to become worse. That being said, when you intake excess or toxic levels of vitamin D, you may experience constipation, in addition to other digestive problems, loss of appetite, and muscle weakness. Mediterranean Diet. Side effects from taking bile acid sequestrants mostly consist of gastrointestinal problems, including: Nausea. These common side effects of rosuvastatin happen in more than 1 in 100 people. You may also have constipation, gas, or diarrhea. Studies have shown that simvastatin and pravastatin seem to have the fewest side effects and are better tolerated than the other statins. This medication will cause constipation. People with Statins should not be discontinued if there is an increase in the blood-glucose concentration, as the benefits continue to outweigh the risks. Headaches. difficulty sleeping. Most of the AEs are muscle-related; however, there are also other statin-associated AEs. Jul 1, 2024 · trouble swallowing. itching or irritation around your rectal area. If you need to combat high cholesterol more aggressively, your doctor may prescribe rosuvastatin (Crestor), which Aug 23, 2021 · However, statin use, including the use of Crestor, is associated with some very common side effects. But for many people, their statin may not actually be the cause of these symptoms. Constipation, nausea, and muscle pain are also possible. Other HMG CoA Reductase Inhibitors (statins) such as: Crestor (rosuvastatin), Zocor (simvastatin), Pravachol (pravastatin), or Mevachor (lovastatin) For some patients, atorvastatin may not be effectively managing their high cholesterol, but another statin may be more appropriate. Atorvastatin is used together with a proper diet to lower cholesterol and triglyceride (fats) levels in the blood. Antifungal drugs ending in -azole. Other options for constipation relief include over-the-counter remedies, such as polyethylene glycol (Miralax, GlycoLax, and many others). Eggs may sometimes be a cause of constipation, especially in aging adults. Methods and Results—We systematically reviewed randomized trials evaluating different statins in participants with and without cardiovascular disease. The Jul 12, 2019 · A team of researchers analyzed the potential side effects of a common blood pressure drug and found that it may increase the risk of a potentially severe bowel condition. Apr 17, 2024 · Pancreas inflammation, which can cause stomach pain. . Muscle pain, another commonly reported side effect, usually occurs in the first few months and improves over time for many people. When taken by mouth: Berberine is possibly safe for most adults. Aug 29, 2022 · These include fibrate cholesterol drugs like fenofibrate, corticosteroids, some malaria drugs, and alcohol. Oat bran Jul 9, 2024 · Side effects can also vary by statin. This medicine may help prevent medical problems (eg, chest pain, heart attack, or stroke) that are caused by fats clogging the blood vessels. Feb 21, 2024 · Mild side effects of Lipitor can include:*. yellow eyes or skin. Crestor is used along with diet or other treatments to lower certain blood Apr 10, 2024 · Causes of secondary constipation may include: dehydration, or not enough water intake. Stomach acid serves an important purpose. 8%) Pain in an arm or leg (2. Common side effects. Other Feb 12, 2024 · There are currently several different classes of drugs available for lowering cholesterol levels. muscle pain†. Excessive fiber intake can cause problems like abdominal pain, constipation, diarrhea, bloating and gas ( 9 ). joint pain†. Common side effects of cholestyramine may include: mild constipation, diarrhea; stomach pain, nausea, loss of appetite; bloating or gas; irritation of your tongue; or. Aug 3, 2023 · easy bruising, unusual bleeding. Examples include headache, nausea, and constipation. The side effects can be managed by increasing your fluid intake, taking a stool softener or by adding fiber to your diet. Constipation is a common problem Feb 14, 2023 · However, too much fiber can cause issues for some people (7, 8). Statins also carry warnings that memory Feb 18, 2008 · They typically cause constipation. Chest tightness; cough; difficulty with Acute constipation begins suddenly and noticeably. ”. High levels of LDL can lead to fatty deposits (plaque) in artery walls statin does not suit you, you could try another one, which might suit you better. It is normal to have anywhere from 1 to 3 bowel movements per day to 2 Oct 1, 2022 · How statins work. ‌ Best Overall: ‌ NOW Supplements Non-Constipating Iron ($7. Drink more water. 91, Amazon) ‌ Best for Sensitive Stomachs: ‌ Nature's Bounty Gentle Iron ($6. According to some studies and proposals stating that cholesterol is important for bile production [10]. This article discusses the factors determining the safest statin, the safety concerns, Jun 5, 2024 · 10 Crestor Side Effects You Should Know About. fatigue. More serious simvastatin side effects include severe muscle damage, liver problems, and increased blood glucose (sugar) levels. an va bk qe zq nf cq rr zg jy