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Patients with pre-existing cardiac arrhythmias or significant cardiovascular disease should be monitored appropriately when initiating GLP-1 therapy, though these conditions are not absolute contraindications

However, it is always important to consult a doctor before starting or discontinuing any treatment if you are planning to conceive

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In fact, there is perhaps no better literary evocation of a hangover than that written by Kingsley Amis in his renowned novel, Lucky Jim: A dusty thudding in his head made the scene before him beat like a pulse