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Reflux considerations Gastric Sleeve May worsen reflux in some patients

The B12 is added to reduce nausea, prevent B12 deficiency during long-term GLP-1 therapy, and support energy metabolism

And a new safety signal, dysesthesia, an abnormal touch sensation, appeared in 8.8% of TRIUMPH-4 participants on 9 mg and 20.9% on 12 mg, versus 0.7% on placebo

Of note, the tachycardia reported by Holt and colleagues was elicited by GLP-1 applied to the T7/T8 segments 21

While the neurobiological mechanisms linking noise exposure to various auditory and extra-auditory health effects have been widely examined 14,18,19 , comparatively little attention has been paid to the evolving patterns of health burdens attributable to such exposure over time

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