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However, healthcare professionals recommend avoiding the herb if you: are pregnant are breastfeeding or chestfeeding have an autoimmune disease, such as lupus have rheumatoid arthritis have type 1 diabetes, and Hashimotos thyroiditis may need to avoid it
Increased inflammation : NAD+ plays a role in regulating inflammatory responses
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doi: 10.1186/s12891-022-05396-5 Summary Keywords type 2 diabetes, osteoporosis, GLP-1 receptor agonists, electronic medical records, cohort study, bone metabolism, fracture risk Citation Chen M, Lyu Y, Zhao J, Han X, Huang T, Yang T and Zhou Y (2025) Use of GLP-1 receptor agonist and risk of osteoporosis among patients with type 2 diabetes: a real-world study
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