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Elevated glucose levels and disrupted glucose metabolism in diabetes and Alzheimers disease(AD) may lead to insulin resistance, oxidative stress, and inflammation, affecting cognitive levels (Wang Y

Alcohol also increases stomach acid production, which can heighten gastrointestinal side effects like acid reflux, indigestion, nausea, and vomiting by increasing stomach acid production

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PMID: 32182209

further research is needed to clarify incidence, mechanisms, and risk factors in GLP-1 users