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5-Amino-1MQ is a synthetic small molecule, not a peptide

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ShresthaHNandKRatiER (2002)

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It is also registered for use in reduction of risk of major adverse cardiovascular events such as heart attack, stroke, or death in adults with Type 2 Diabetes with known heart disease

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A provider who can't answer that clearly is worth pausing on

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Nitrous oxide (used in anaesthesia or misused recreationally) inactivates vitamin B12 and can precipitate or worsen neurological injury in patients with B12 deficiency

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Pregnancy and breastfeeding: Rybelsus is not recommended during pregnancy or breastfeeding

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