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It is added because it addresses two specific and significant clinical problems that arise from GLP-1 receptor agonist therapy: nausea at treatment initiation and progressive B12 depletion over the course of long-term use
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[Crossref] Andrs E, Kaltenbach G, Noel E, Noblet-Dick M, Perrin AE, et al
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In larger amounts, its highly acidic nature can irritate the throat and digestive system, interfere with insulin, and potentially cause a potassium deficiency
The most common complication is skin infection
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