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Carbon monoxide (CO) levels are high in CS and CO is a known inhibitor of heme-containing enzymes such as the cytochrome P450s [30] and mitochondrial complexes [31]

Efficacy and safety of GLP-1 receptor agonists as add-on to SGLT2 inhibitors in type 2 diabetes mellitus: a meta-analysis

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Reactive oxygen signaling and abiotic stress

While the FDA label does not list alcohol as a contraindication, combining alcohol with tirzepatide requires careful consideration

IJMS 24:16870