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This is because it activates a process called lipolysis
We also observed that the median time to onset of GLP-1 RAs-associated acute pancreatitis was 92 (range: 03,312) days across ICSRs that provided both drug initiation and AP onset times, and 2.5 months of the case series, indicating a longer onset duration compared to other gastrointestinal adverse events triggered by GLP-1 RAs (Zhou et al., 2022)
2 There is insufficient data to recommend other formulations of vitamin B 12 replacement (e.g., nasal, sublingual, subcutaneous)
I have no idea what protocol or what they did, but I know it involved regular injections
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