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Load up on things like spinach, broccoli, cauliflower, bell peppers, zucchini, and leafy greens
consider a lower dose of the secretagogue or insulin to reduce risk of hypoglycemia in this setting Exercise caution when semaglutide is concomitantly administered with oral medications
Although rare in developed countries, pellagra remains endemic in poorer regions, with risk factors including low socioeconomic status, alcoholism, anorexia nervosa, cancer, and malabsorptive disorders, such as Crohns disease, as well as the use of some specific medications such as immunosuppressive and anti-tuberculosis drugs (12, 54)
N Engl J Med 2021;385:2252-63.ArticlePubMed 135
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