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Analyst Opinion at Fact.MR Shambhu Nath Jha, Senior Analyst at Fact.MR, states, GLP-1 care is moving beyond prescription access into metabolic continuity
In addition, it is important to remember to discontinue dipeptidyl peptidase4 inhibitors when initiating a GLP1RA, because the mechanism of action of these two drug classes is not synergistic

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10.1152/ajpendo.00499.2003 Am
Unlike GLP-1 receptor agonists (Zepbound, Wegovy, Ozempic), phentermine works entirely differently as a sympathomimetic amine that stimulates the central nervous system to suppress appetite, with no injections required

From a translational standpoint, catestatin may be more tractable as a pathway biomarker or as a guide for targeting autonomic dysregulation rather than as a direct peptide therapeutic
