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GLP-1 class: do not combine Combining semaglutide with other GLP-1 agonists (liraglutide, dulaglutide) or with GLP-1-containing multi-agonists (tirzepatide, retatrutide) risks unpredictable GLP-1 receptor overstimulation, compounded GI toxicity, and uncontrolled metabolic effects
Common Mistakes Relying on serum B12 alone you need MMA to confirm functional status
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