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The main risks include gastrointestinal side effects such as nausea, constipation, and abdominal pain that may be difficult to distinguish from diverticulitis symptoms

Safety considerations Available evidence suggests that combined therapy with SGLT2 inhibitors and GLP-1 receptor agonists is generally well tolerated, with safety profiles largely consistent with those of each class individually [24, 40,41,42,43]

Certain antibiotics may interact with the cyanocobalamin component through effects on vitamin B12 metabolism or efficacy