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It works by activating three hormone receptors: GLP-1, GIP, and glucagon

They also help regulate blood sugar levels by enhancing insulin response

However, the lack of FDA approval and oversight for the final compounded products introduces inherent risks. Douglas Ewing, MD, FACS, DABOM Concerns have been raised about the potential for contamination, impurities, and incorrect dosages in some compounded products, Ewing continued

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The suspected mechanism is glucagon activity: the glucagon receptor is expressed in certain tissues of the peripheral nervous system, and its chronic activation appears to alter neurosensory signaling in some subjects

These are neurotoxins and can adversely affect brain function and alter neurotransmitter levels