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[23] [25] Either form can be effective, and the choice may depend on individual factors and cost considerations

Approved in Japan as a treatment for type 2 diabetes, it also promotes healthy weight loss

However, people taking these medicines must be watched closely because of uncommon, but serious adverse reactions: Infections from bacteria, viruses, and fungi Skin cancer, but not melanoma Skin reactions Allergic reactions Worsened heart failure Damage to nerves Low white blood cell count SURGERY Surgery may be needed to correct severely damaged joints

It appears that some small peptides (chains of 2 or 3 amino acids) can be absorbed without further reduction