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Br J Diabetes Vasc Dis 4:273277 Buse JB, DeFronzo RA, Rosenstock J et al (2015) The primary glucose-lowering effect of metformin resides in the gut, not the circulation
As a consequence, monoamine neurotransmitter disorders are under-recognized and often misdiagnosed
doi: 10.1093/scan/nsaa155, 28
Proper injection site rotation and monitoring for tirzepatide's gastrointestinal effects remain essential