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The intestinal microbiota is directly implicated in the generation of trimethylamine from dietary choline and its metabolite phosphatidylcholine, as well as from dietary betaine and carnitine

Whilst Januvia is generally well tolerated, adding it to Mounjaro does not reduce these side effects and may, in theory, contribute to gastrointestinal disturbance in some individuals

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"GLP-1/GLP-1R axis might directly act on ovarian MGCs [mural granulosa cells] to promote the follicular development in a dose-dependent manner, likely contributing to the oocyte maturation in PCOS." G

Do not squirt water directly onto the powder

GLP-1 receptor agonists initiate rapid metabolic shifts that can increase oxidative stress markers and inflammation