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Adults with a BMI of 30 or higher were eligible for a prescription, as were those with a BMI of 27 or higher who also had at least one weight-related condition, such as high blood pressure, high cholesterol, or heart disease

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However, pairing GLP-1 drugs with DPP-4 inhibitors is generally avoided since both act on the same pathway, resulting in overlapping effects without meaningful added benefits

Very high ammonia levels have been reported, even with normal liver function tests [71]

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