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GLP-1 receptors are expressed both centrally (in the brain) and peripherally (in immune cells, the gut, and metabolic tissues)

The "food noise" effect is commonly reported

Compounded versions of these peptides, available through telehealth platforms, have not undergone the same FDA approval process

Alternative diabetes treatments include other GLP-1 agonists (if no cross-reactivity), SGLT2 inhibitors, DPP-4 inhibitors, or insulin therapy per NICE NG28 guidance

A telehealth evaluation may not capture all relevant clinical information that would be available in an in-person examination

They can evaluate your individual situation and recommend the most appropriate next steps