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Stacking them increases hypoglycemia risk, and berberine's gastrointestinal side effects (nausea, diarrhea) may compound GLP-1 drugs' well-known GI effects

Similarly, the American College of Physicians' guidance on type 2 diabetes management does not identify colon cancer as a contraindication or precaution for GLP-1 use

medRxiv [Preprint] 2024 Feb 18

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Virtual care delivery services emphasize online interactions with healthcare professionals

Additionally, individual variations in metabolism, underlying health conditions, and how the body responds to the medication can impact Zepbounds effectiveness