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Rhabdomyolysis ranges from an asymptomatic illness with elevation in the CK level to a life-threatening condition associated with extreme elevations in CK, electrolyte imbalances, acute renal failure (ARF), and disseminated intravascular coagulation

Insulin and C-peptide levels were determined using IMMUNLITE-2000 (Siemens, Malvern, PA, USA)

Because it is much less concentrated and diluted and wrapped with other botanical ingredients in this product, it will not react with GLP-1 in the gastrointestinal tract after entering the body

Results from a past study noted that nootkatone stimulated energy metabolism in a mouse model

Keywords: Glucagon-like peptide-1 receptor agonists, Atrial fibrillation, Cardiac arrest, Ventricular fibrillation, Mendelian randomization Graphical abstract Supplementary Information The online version contains supplementary material available at 10.1186/s13098-025-01712-w