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Combining it with another GLP-1 or GIP agonist (semaglutide, tirzepatide) would compound the same receptor load and the same GI and hypoglycemia risks with no efficacy evidence to support it

Ramos teaches it conceptually as remove, replace, repopulate, repair, and rebalance an honest framing that keeps the work anchored to the underlying driver rather than chasing the symptom

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