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Tirzepatide already covers GLP-1 (so semaglutide adds redundancy)

Plasma methylmalonic acid predicts risk of acute Myocardial Infarction and mortality in patients with coronary Heart Disease: a prospective 2-cohort study

Whilst only 2 prescribed medicines are considered - their combined negative impacts on this person's neurological physiology are potentially quite profound, especially given the underlying neurodegenerative disorder

2015;10(8):e0136204

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Supplementing NAD+ precursors replenishes the substrate PARP needs while keeping sirtuin activity from being starved out