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Your Marcos Medical provider will discuss all potential side effects during your consultation, and they can help manage any symptoms should they arise to keep you comfortable.

[1] There is a theoretical concern regarding serotonin syndrome, though there is no established direct pharmacological mechanism for this interaction

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A complex signaling cascade regulates GLP-1 secretion, and it starts with the entry of chime into the intestine

doi: 10.3390/antiox11050965 [DOI] [PMC free article] [PubMed] [Google Scholar] 55.Barnes PJ

We warned of this growing threat to patient safety in our May 16, 2024 article, ISMP urges increased action at the practice level to halt the growing danger of counterfeit drugs, and our April 10, 2025 article , Implement strategies to prevent persistent medication errors and hazards: 2025