These include semaglutide (Ozempic, Wegovy), liraglutide ( Saxenda , Victoza ) and tirzepatide ( Mounjaro , Zepbound)
The pattern of liver enzyme elevation observed in this patient could mimic that seen with binge alcohol use, but this was excluded based on a thorough clinical history
Itching reported during semaglutide can stem from multiple mechanisms: direct irritation at the injection site, systemic effects on inflammatory pathways, or activation of GLP-1 receptors in skin tissue
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