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Both medications are metabolized primarily by your liver through cytochrome P450 pathways, but they use different enzyme familieshydroxyzine uses CYP3A4 and CYP2D6, while semaglutide undergoes hydrolysis and transaminase metabolism

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The latest published evidence will be reviewed with an emphasis on its limitations and clinical implications. Beyond these serious adverse events, GLP-1 receptor agonists come with a black box warning about the risk for medullary thyroid cancer based on rodent models

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