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While overall prescribing of semaglutide increased throughout second quarter of 2024, the rate of first-time prescribing of semaglutide slowed from 0.9% of prescriptions in May 2024 to 0.7% in June 2024

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Interestingly, exogenously administered GIP and GLP-1 seem to access the brain predominately via leaks in the bloodbrain barrier, where the underlying neuronal tissue has dense expression of their receptors [11,12,13, 17] (Fig

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However, these proteins were in circulation for only a short time, limited to 1-2 minutes, due to their degradation by the enzyme dipeptidyl peptidase-4 (DPP-4), which raised questions regarding use of GLP-1s as pharmaceutical treatments [9]

New England patients looking for alternatives began researching compounded tirzepatide dosing options in greater numbers