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Some indications that drug abuse may increase the risk of the metabolic syndrome include the observation that drug-abusing patients have higher rates of diabetes complications

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[DOI] [PMC free article] [PubMed] [Google Scholar] 47.Williams J, Pomeroy NE, Pop-Busui R, Lash R, Douyon L, Chames M, et al

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[DOI] [PMC free article] [PubMed] [Google Scholar] 82.Oberst A, Dillon CP, Weinlich R, McCormick LL, Fitzgerald P, Pop C, Hakem R, Salvesen GS, Green DR

While diabetic ketoacidosis (DKA) is not typically associated with GLP-1 RAs alone, patients using Ozempic with SGLT2 inhibitors or after significant insulin dose reductions should be alert to DKA symptoms and seek urgent care if these develop