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Some patients feel the effect almost immediately after starting the medication, says Jessica Bartfield, M.D., an obesity medicine physician and associate professor at Wake Forest University School of Medicine who specializes in medical weight management

Add to that the dips in blood oxygen levels and youre looking at a significant risk for health issues
This incretin hormone plays a crucial role in regulating blood glucose levels, appetite, and metabolic health

Endocr Connect 2:6978 Marguet D, Baggio L, Kobayashi T et al (2000) Enhanced insulin secretion and improved glucose tolerance in mice lacking CD26
Animal studies hint at similar dopamine-dampening effects for cocaine and opioids, though those pipelines lag behind

Diabetes Obes Metab 21(10):21922202
