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Recent clinical reviews have shown that for most patients, starting a GLP-1 medication does not significantly change INR levels

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Di Cesare Mannelli L, Ghelardini C, Toscano A, Pacini A, Bartolini A (2010) The neuropathy-protective agent acetyl-L-carnitine activates protein kinase C-gamma and MAPKs in a rat model of neuropathic pain