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vitamin K - has been found to suppress the inflammatory cytokines and NF-kappaB and prevent oxidative, hypoxic, ischemic injury to oligodendrocytes and neurons vitamin K deficiency therefore results in classic expression of the inflammatory response and consequently pain

Gerstein HC, Colhoun HM, Dagenais GR et al (2019) Dulaglutide and cardiovascular outcomes in type 2 diabetes (REWIND): a double-blind, randomised placebo-controlled trial

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This slow increase is intentional it reduces the nausea and digestive side effects (the most common complaint with all semaglutide forms) that can occur when the dose ramps up too quickly

It helps make sure the medicine is safe and works well