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doi:10.3322/canjclin.33.5.282

As one of the patients was on methotrexate for rheumatoid arthritis, a literature search was conducted and no reports on the association with hyposalivation was found

However, pairing GLP-1 drugs with DPP-4 inhibitors is generally avoided since both act on the same pathway, resulting in overlapping effects without meaningful added benefits

Dispensing and fulfillment are handled by licensed third-party pharmacies where permitted, so medication access questions should stay separate from dosing decisions