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As Case 2 demonstrated, a patient may tolerate one drug in the class (semaglutide) but not another (tirzepatide), suggesting the reaction may be specific to certain agents or their unique pharmacologies

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Neurological examination revealed disorientation, ocular abnormalities, weakness, sensory deficits, and preserved ankle jerks

Continuous Glucose Monitoring (CGM) can reveal this hidden sensitivity

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Recent animal- and human-based studies described the enhanced percentage of eryptotic erythrocytes in patients with hepatic failure and hyperbilirubinemia [210, 250, 280, 283, 284]