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Both substances independently affect your liver's glucose production, meaning mixing them significantly increases your risk of severe low blood sugar (hypoglycemia)

The math could not be simpler

Shafira Ninditya, MD, as the corresponding authors research assistant who provided editorial assistance in the preparation of this article

Choline deficiency can impair fat export, leading to hepatic steatosis, though dietary choline intake is typically adequate in most individuals

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These reactions typically manifest as localized erythema (redness), pruritus (itching), swelling, or mild discomfort at the injection site