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The concerns are more about overlapping effects and side effects than a single sharp interaction

Considering the timing of GLP-1RAs initiation after bariatric surgery, recent studies indicate that the proper healing and metabolic adaptations that occur following bariatric procedures, such as changes in gut hormones and insulin sensitivity, may play a role in the effectiveness of GLP-1RAs [73]

The same study showed that TNF- also inhibited the survival and proliferation of the oligodendrocyte progenitors and their subsequent differentiation into mature myelinating phenotypes

Treatment with parenteral cobalamin is always recommended for cats with gastrointestinal disease and low serum cobalamin concentrations

The exact dosage will depend on clinical response