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Drug interactions are most clinically important with insulin and sulfonylureas (hypoglycaemia risk), DPP-4 inhibitors (dont combine), and (for Mounjaro only) oral contraceptives and oral HRT

This damage can manifest as anything from tingling and numbness in the extremities to more severe issues

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Nutritional deficiencies following gastric sleeve surgery particularly in iron , magnesium , vitamin D , and B vitamins are well-documented in bariatric patients and are monitored through routine post-operative blood tests

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