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Importantly, slow titration partially mitigates this

Kordower JH, Freeman TB, Chen EY, et al

Avoiding large meals immediately after injectionnot because of drug interaction, but because of heightened appetite suppressioncan prevent gastrointestinal distress in your first few hours

The queries for the articles about the gut-liver axis: ((GLP-1RAs[Title/Abstract]) OR (GLP-1R agonists[Title/Abstract]) OR (GLP-1 receptor agonists[Title/Abstract]) OR (GLP-1 receptor[Title/Abstract])) AND ((liver[Title/Abstract]) OR (hepatic[Title/Abstract]) OR (HCC[Title/Abstract])) AND (microbiota[Title/Abstract])