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In Ringer solution, although hemolysis was halved at 4% hematocrit when compared to 0.4% hematocrit, the difference was not significant

Its 100 percent important that healthcare providers monitor people taking GLP-1s, says Horneff

2018;62(6):e1700756

Lulseged BA, Ramaiyer MS, Michel R, Saad EE, Ozpolat B, Borahay MA

There is a complex interplay between lipid metabolism (e.g., digestion, absorption, catabolism, biosynthesis, and peroxidation) and autophagy machinery, leading to the modulation of cell homeostasis, including cell survival and death

So yes, you can get a no puff, less lines look in a before/after photo, but its mostly a temporary smoothing + hydration effect