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Counterfeit GLP-1 products may contain the wrong active ingredient, too little or too much of the active ingredient, harmful contaminants, no active ingredient at all, or entirely different medications

American Family Physician, 106 (6), 638644

Reprod Biomed Online.2023;47(1):135-144
Microneedle-based insulin transdermal delivery system: current status and translation challenges

It did not come with the fanfare of a new drug approval
