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Both medications have a low intrinsic risk of hypoglycaemia when used alone, but if you're also taking sulphonylureas or insulin, your healthcare provider may need to reduce those doses to prevent low blood sugar episodes
Efficacy is unaffected once the peptide reaches the bloodstream it sits in the bodys own roughly 150 mM saline regardless of what you mixed it with. NAD+ is different: its pain is acidity, not mast cells reconstituted NAD+ sits near pH 3.5
If the benefits of taking the two drugs outweigh the risks involved, then it is appropriate to take both with additional monitoring for side effects
The analgesic effects of liraglutide were not observed in mice with constitutively active glycogen synthase kinase-3 beta (GSK3), as activation of GSK3 promotes the activation of the NLRP3 inflammasome [48]
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