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Other liver function parameters, including bilirubin and alkaline phosphatase, as well as ethanol, complete blood count, and kidney function tests, were within normal limits

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A safe prescribing decision also considers: eligibility and NHS pathway availability comorbidities and concurrent medicines tolerability and dose escalation patient preference and expectations capacity for follow-up and monitoring The difference between semaglutide and tirzepatide should therefore be framed as a clinical comparison, not a direct consumer recommendation

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