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The FDA has also stated concerns about compounded products using semaglutide salt forms (sodium or acetate) rather than the semaglutide base form

The number alone tells you something, but the chromatogram tells you much more, including whether impurities are closely related peptide fragments or entirely different compounds

Diabetes Res Clin Pract 2020

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Initial reports in animals showed that GLP-1 acutely increases blood pressure (BP) and heart rate (HR) in rats and mice, actions mediated through activation of the autonomic nervous system, including medullary catecholamine neurons, providing input to sympathetic preganglionic neurons (13)

If weight loss plateaus after 6-8 months or you want to maximize results, tirzepatide becomes a logical next step
