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doi:10.1016/j.amjsurg.2005.08.020

So when you combine keto with GLP-1 medication, you're stacking two powerful appetite suppressants

This phenomenon, known as the incretin effect, is greatly reduced in diabetics, a difference that led to the development of analogues of incretin GLP-1 and GIP

The exact shade depends on their B12 concentration

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Iraqi J Pharmac Sci 31(1):154166