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If you experience any adverse reactions, such as nasal irritation, runny nose, or headaches, discontinue use and consult with a healthcare provider
In the meta-analysis, treatment effect (GLP-1RA vs placebo) on CV outcomes was no different with vs without baseline metformin (overall ratio between the hazard ratios for metformin vs no-metformin 1.09 [0.96;1.22])
This is a therapeutic dose, but not an aggressive one
Observational studies A large number of cross-sectional and prospective cohort studies have associated elevated blood homocysteine concentrations with measures of poor cognitive scores and increased risk of dementia, including Alzheimer's disease (reviewed in 67, 69)
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