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The GLP-1 drug resolved liver inflammation in nearly two-thirds of participants, twice the rate seen with placebo

[1] [2] Patients should be counseled about the potential risk and instructed to report symptoms of thyroid tumors, including: A lump or swelling in the neck Hoarseness or voice changes Difficulty swallowing Shortness of breath It is important to note that the relevance of rodent C-cell tumor findings to humans remains uncertain

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If lab results show normal levels, additional B12 may not be necessary

However, patients with chronic kidney disease stage 3 or higher should follow ADA/KDIGO guidelines of approximately 0.8 g/kg/day and have kidney function assessed before significantly increasing protein intake

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