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GLP-1 receptor agonists modify gut motility, which affects bacterial populations
However, it is important to note that neurological symptoms can occur even in the absence of anaemia, particularly in patients taking folic acid supplements, which can mask the blood changes whilst neurological damage progresses
For a peptide reconstitution that needs to last, bacteriostatic water is the only rational choice
In general, ethanol ingestion may aggravate these effects or cause an adverse drug reaction
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