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Hypoglycaemia: As noted above, the risk with incretin monotherapy is generally low in healthy individuals but is heightened by concurrent use of insulin or sulphonylureas, extreme caloric restriction, or prolonged strenuous exercise
10.1016/j.envpol.2011.12.031 158 VenkatachalamP.PriyankaN.ManikandanK.GaneshbabuI.IndiraarulselviP.GeethaN.et al (2017)
If you want a broader overview of the topic, What is Glutathione and Why It Matters is a helpful companion read
Some people start with pills to ease into treatment, then switch to injections for stronger weight loss support
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