More serious adverse effects include pancreatitis, gallbladder disease (cholelithiasis, cholecystitis), and acute kidney injury (particularly with severe dehydration from gastrointestinal symptoms)
[6] A full physical exam and direct assessment are often essential for safety and accuracy, and complex obesity care works best in a multidisciplinary, team-based setting with clinicians, dietitians, and exercise specialists coordinating care
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On the other hand, some antibiotics, such as -lactams, can deplete bacterial GSH, which weakens the defense against oxidative stress and promotes bacterial death
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