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in 8 cases this was due to low urinary excretion of toxic metals, and in 1 case it was due to extremely high lead excretion (both at baseline and after DMSA)

[1] [4] Factors That Influence How Quickly Ozempic Works Several patient-specific and clinical factors influence the rate and extent of glucose-lowering response to Ozempic, contributing to the considerable inter-individual variation observed in clinical practice

Jiang, J., Chan, A., Ali, S., Saha, A., Haushalter, K

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