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The gastrointestinal adverse effects are attributed to the GLP-1 activity these medications produce and there are no therapeutic measures for improving said symptomatology.42,7173 Therefore, the best measure to consider in this group of patients is to use the drug that has less association with gastrointestinal adverse effects

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Im not saying any of this to scare you or to concern you, but to simply bring to your attention that vitamin B12 deficiency is a big deal

( 3 ) shows the sensitivity analysis for pulmonary aspiration in patients on GLP-1 agonists and placebo