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Phentermine: May cause insomnia, increased heart rate, restlessness, and dry mouth

In humans, fasting systemic plasma concentrations of total GLP-1 (including metabolites generated by DPP-4-mediated degradation) are typically in the range of 510 pmol/L and can increase up to 40 pmol/L in response to a meal [236]

But its side effects, particularly dry mouth, acid reflux , vomiting, and reduced nutritional intake, create an environment where decay develops much faster than normal

Carbonated beverages also introduce extra air into your digestive system
Elevated adiponectin concentrations have been noted in major clinical trials with GLP-1RAs (123, 188) and, more robustly, with tirzepatide (189)

doi: 10.1016/j.bbrc.2009.01.003
