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Before a zoonotic virus becomes a virus that readily transmits from one person to another, it typically causes occasional infections of humans, acquired from an infected animal (e.g., recent H5N1 human infections from birds and cattle)

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A missed dose may result in temporary blood glucose elevations, particularly postprandial (after-meal) glucose levels, which are especially sensitive to GLP-1 receptor agonist effects

Even some over-the-counter products with plant estrogens may have a mild effect