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I would continue the metformin because of its antineoplastic, anti-inflammatory, and antiaging potential

Addressing aging : Replenishes declining NAD+ levels, potentially delaying aging
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Have you plateaued on Semaglutide

Although the numbers of adverse events were small, the adjusted results showed a nine times increased risk of pancreatitis, four times increased risk of bowel obstruction and three and a half times increased risk of gastroparesis

But unlike nausea which can make daily life miserable, constipation typically responds quickly to simple interventions
