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Semaglutide is degraded by proteolytic enzymes and does not rely on hepatic cytochrome P450 metabolism, whilst topiramate undergoes limited hepatic metabolism and is primarily excreted unchanged in urine

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10.1002/ejhf.657 42 KhanM

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Industry reactions to the CagriSema results have been mixed at best

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They found that the contaminant appeared able to inhibit the secretion of gastric acid (Brown, Magee)

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