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doi: 10.1016/j.jhep.2010.08.019

Although we havent seen that in humans yet, it was a side effect noted in animal studies

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Conclusion In summary, you can continue to enjoy grapefruit while taking Ozempic without fear of a dangerous drug interaction

In addition, a recent meta-analysis indicated that antidiabetic drugs (metformin) have a strong association with the relative abundance of microbiota (159)