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If your blood tests find liver enzymes spike to 3x or greater above your baseline, you should talk to your doctor

The critical factor is molecular size

Those side effects are consistent with what is reported by users of other weight loss drugs like Mounjaro and Ozempic

Regarding exenatide, Trevaskis et al

But modern medicine and modern commerce together have become extraordinarily good at one thing: Taking complex lifestyle and environmental disorders,reducing them to a single measurable chemical pathway, and then normalizing lifelong medication as the primary solution

Conversely, many patients may experience improved sexual function with weight loss