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Interactions with Medications and Substances Alcohol and Caffeine: Regular consumption of alcohol may interfere with the body's ability to absorb vitamin B12, potentially diminishing the efficacy of the injection and leading to suboptimal relief from deficiency symptoms

127 In patients with mild cognitive impairment and AD, an 18-month course of exenatide was well tolerated but did not yield significant changes in clinical or cognitive outcomes or in most neuroimaging or biomarker assessments, except for a reduction in plasma neuronal extracellular vesicle A42 levels, potentially reflecting systemic neuronal status

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