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The drug undergoes general peptide catabolism through endogenous proteases, distributed across multiple tissues, with no intact liraglutide excreted renally or fecally as a primary elimination route [1]

This leads to a state known in functional medicine as "overmethylation," characterized by severe anxiety, panic attacks, insomnia, heart palpitations, and a "wired but tired" feeling

Particular care should be taken when using multiple AEDs as adverse effects can be cumulative

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