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86 A recent case report linked semaglutide (0.5 mg/wk) to a case of drug-induced systemic lupus erythematosus that developed within 3 months of treatment initiation and described systemic lupus erythematosuslike symptoms in a subset of patients using this medication, namely females older than 60 years, within the first month of treatment

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Damage to the heart cells from the pacing may have caused the carnitine to leak from the myocardiocytes