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Over 30 million Americans are using medications like Wegovy and Ozempic, but surgeons say rapid muscle loss is causing an unexpected side effect: back pain.

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Treatment with GLP1RAs resulted in unaffected or reduced Cmax and delayed tmax of drugs with high solubility and permeability (warfarin, contraceptive pills, acetaminophen), drugs with high solubility and low permeability (angiotensin converting enzyme inhibitors), drugs with low solubility and high permeability (statins) and drugs with low solubility and permeability (digoxin)

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