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Those with pre-existing chronic liver disease warrant closer surveillance, though semaglutide is not contraindicated in compensated liver disease
A patient of mine, a veteran who had tried to quit smoking for over a decade, told me that after he started a GLP-1 drug for his diabetes, he lost interest in cigarettes
10.1182/blood-2002-04-1270 85 TolosanoE.HirschE.PatruccoE.CamaschellaC.NavoneR.SilengoL.et al (1999)
B3 (niacin) plays a role in DNA repair and energy metabolism
In other words, dead cells shed faster so newer cells come to the surface sooner
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