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They may not be safe with the following medications: Immunosuppressants like azathioprine or cyclophosphamide, and prednisone Medicine for chest pain (angina), including isosorbide and nitroglycerin Antifungal drugs like oxiconazole NAC may not work as well when paired with certain antibiotics (oxytetracycline, tetracycline, and trypsin) or activated charcoal

It is a dual GIP/GLP-1 receptor agonist, meaning it activates two incretin pathways simultaneously

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