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Any lifetime A1C 6.5%, insulin use, hypoglycemia, unstable dosing or aeromedically significant side effects forces your AME to defer to the FAA for Special Issuance

The risk is due to GLP1- RAs inhibiting gallbladder motility which then delays gallbladder emptying by suppressing the secretion of cholecystokinin, an enzyme that stimulates the gallbladder to contract and release bile into the small intestine

Zinc-carnosine is a prescription anti-ulcer drug in Japan, where it has been studied for over a decade (Matsukura 2000

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In some cases, it can cause a temporary increase in blood pressure