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Metabolic and endocrine side effects Hypoglycemia risk is low with both peptides when used as monotherapy because their effects on insulin secretion are glucose-dependent

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It has also been proposed that pyridoxine deficiency can have a role in the development of carpal tunnel syndrome, due to its critical role in peripheral nerve metabolism as a cofactor for neuronal protein synthesis (59)

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Glycated hemoglobin, or HbA1c, a key indicator of blood glucose control, also showed clear improvement

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