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As GLP-1RA usage continues to grow worldwide, multidisciplinary cooperation between endocrinologists, otolaryngologists, and vestibular experts will ultimately be crucial to better understanding and treating this developing safety issue

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These effects are believed to be associated with the interaction of SEM with GLP-1 receptors in the brain [64,65,66,67,68]

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Mechanisms of Metformin Action: In and out of the Gut

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Many weight loss clinicians recommend skipping fat blockers entirely during GLP-1 therapy because semaglutide alone provides sufficient caloric reduction without additional malabsorption risk

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