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Watch for gout attacks

They are all ubiquitous except -butyrobetaine hydroxylase is absent from cardiac and skeletal muscle

GLP-1 RAs STEP 1 (2021) : Semaglutide 2.4 ./ 14.9% 68 2.4% (Wilding et al., 2021, NEJM) SURMOUNT-1 (2022) : Tirzepatide (GLP-1/GIP dual agonist) 15 ./ 20.9% (Jastreboff et al., 2022, NEJM) GLP-1 HbA1c () 2 (Hypoglycemia) Glucose-dependent LEADER (liraglutide) SUSTAIN-6 (semaglutide) 2024 FDA Semaglutide (Wegovy) FLOW (2024) semaglutide (MASLD/NAFLD) GLP-1 RAs GLP-1

Addressing Potential Medication Interactions Because semaglutide affects metabolism, doctors must watch for drug interactions

Reusing needles increases infection risk and dulls the tip, making injections more painful