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While the combination therapy did not outperform the placebo, GLP-1 on its own showed a statistically significant improvement in liver scarring without worsening underlying liver inflammation, even among patients with the most advanced disease

And the formulation itself varies from pharmacy to pharmacy, with different concentrations, preservatives, and added compounds like B12 , glycine , or niacinamide

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[1] [2] Less common but important side effects include: Hypoglycaemia particularly when Rybelsus is used in combination with insulin or sulphonylureas