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doi: 10.1111/dom.12985

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Future longitudinal and interventional studies integrating microbiome profiling, metabolomics, and controlled designs will be required to determine whether specific microbial configurations can act as clinically actionable modifiers of GLP-1 receptor agonist response

You develop signs of hypoglycaemia : Whilst both Rybelsus and Januvia have low intrinsic hypoglycaemia risk, combining them with insulin or sulphonylureas increases this possibility
