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The primary concerns include additive effects on blood glucose (potentially increasing hypoglycaemia risk), intensified gastrointestinal side effects such as nausea and diarrhoea, and unpredictable interactions due to variable quality of berberine supplements
doi:10.1016/S2213-8587(25)00092-0
Seven different GLP-1 receptor agonists were used, including semaglutide (Ozempic or Wegovy), dulaglutide (Trulicity), and liraglutide (Victoza)
Contraindications to the use of semaglutide in patients with history of medullary thyroid cancer and multiple endocrine neoplasia syndrome type 2 was described [99]
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