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It mimics ghrelin to trigger GH release without spiking cortisol or other unwanted hormones

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Feb 2019;49(2):269-287

Obese people in general are more prone to suicidal ideation, making it difficult to attribute any suicidal ideation to drugs unless a study using a direct comparison between obese patients on and off GLP1R agonists is completed.[66][67] Conclusion GLP-1 Drugs work for their intended purpose and will likely represent a revolution in the way obesity is treated as well as obesity rates in the developed world

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It usually gets better over time as your body adjusts to the medication