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Research has shown that metformin can block the reabsorption of bile acids by reducing the levels of Na + -dependent bile acid transporter proteins and controlling the function of farnesoid X receptor (FXR) ( Bacteroides fragilis in the gastrointestinal tract, whose metabolite glycoursodeoxycholic acid (GUDCA) is involved in inhibiting FXR signaling ( (4) Metformin may enhance GLP-1 secretion through PEN2, a subunit of -secretase
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An OZEMPIC pen must never be shared between patients, even if the needle is changed [see Warnings and Precautions (5.4)]

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