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Rajesh Dhirmalani, DO, is a gastroenterologist in New Jersey, and medical advisor to Replenza

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The newly reformed acyl-CoA is now perfectly positioned to enter the beta-oxidation pathway, a series of chemical reactions that break down the fatty acid chain to generate Acetyl-CoA, NADH, and FADH2

Patients beginning semaglutide injection therapy while on blood thinners should inform their prescriber and discuss timing of INR checks (for warfarin users) or ongoing monitoring protocols to ensure therapeutic stability