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After being absorbed into the liver, AFB 1 is bioactivated into highly toxic AFB 1 -8,9-exo-epoxide (AFBO) and less toxic aflatoxin M 1 , Q 1 , and non-toxic P 1 by hepatic microsomal cytochrome P450 (CYP450) [18,19,20]

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Careful monitoring and communication with healthcare providers are essential to manage these side effects effectively and ensure the safe use of semaglutide in this patient group

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