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If you are considering semaglutide therapy, getting vaccinated against shingles before starting treatment is a straightforward preventive step

BMJ 356:j1065

doi: 10.1038/ijo.2013.149, 69

Most have been conducted in individuals with type 2 diabetes who were also receiving medications such as metformin, which may independently affect the gut microbiome

The secretion of adhesion molecules including VCAM-1, MCP-1, ICAM-1, and E-selectin is also reduced by GLP-1 (34), exenatide (3436), liraglutide (37), and dulaglutide (37)