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Cell Death Dis 9(10):968 Adana MY, Akang EN, Peter AI, Jegede AI, Naidu EC, Tiloke C, Chuturgoon AA, Azu OO (2018) Naringenin attenuates highly active antiretroviral therapy-induced sperm DNA fragmentations and testicular toxicity in Sprague-Dawley rats

This may have set the scene for an adaptive conflict where on one side selection would favour tolerance to a spike in GLP-1 in blood as a result of envenomation and on the other increased potency as a venom component

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The more effective approach is to ensure the prior authorization includes all required documentation (step therapy proof, recent BMI, comorbidity labs)

Lancet 402 (10400), 472483