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Goldstein BJ, Feinglos MN, Lunceford JK, et al

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A similar impact on biomarkers of liver damage has also been demonstrated for lixisenatide [75], dulaglutide [78,79], liraglutide [73,76,77] and semaglutide [61,80]

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Both prescription semaglutide and natural alternatives that affect GLP-1 activity require careful consideration of safety, contraindications, and appropriate medical supervision