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There is a strong association between NAFLD and the metabolic syndrome with higher risk of NASH in those with underlying diabetes or obesity

Key Takeaway: While Ozempic does not directly cause bleeding, the digestive changes it triggers (like severe constipation) can lead to secondary issues like hemorrhoids that cause rectal bleeding

The best option is the one thats safe, well tolerated, and effective for the individual, he says

An overview

This can make it harder to meet needs for nutrients like iron, B12, folate, calcium and vitamin D, especially if you already had a low intake or follow a restrictive diet, so monitoring and targeted supplements may be needed

Still, these drugs are experimental, and the long-term health consequences are unknown.