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Some analyses also suggest an increased risk of biliary disease, particularly cholelithiasis, with GLP-1RA therapy

van der Hoek J, Waaijers M, van Koetsveld PM, Sprij-Mooij D, Feelders RA, Schmid HA, Schoeffter P, Hoyer D, Cervia D, Taylor JE, Culler MD, Lamberts SW, Hofland LJ

once mixed, refrigerate at 28 C and do not freeze