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As a GLP-1/GIP/glucagon receptor agonist, it may theoretically delay gastric emptying, which is a class-related effect that could affect the absorption of orally administered medicines

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This evaluation ought to account for age, sex, family history, prior medical history, environmental exposures, and other established risk determinants that may increase the likelihood of occult malignancy

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National Institutes of Health, Office of Dietary Supplements

Persistent adverse effects after a B12 injection warrant evaluation rather than reassurance that its normal. How Should You Decide If B12 Injections Are Right for You