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Exendin-4 mimics the effects of human GLP-1, but with greater stability and longer duration of action, laying the groundwork for the development of GLP-1 receptor-based drugs [15]

Injecting twice or three times daily, as some protocols require, becomes burdensome

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Rare and Serious Side Effects of Phentermine Serious side effects of Phentermine include primary pulmonary hypertension, heart valve disease, and severe spikes in blood pressure

Common red flags: Persistent fatigue Hair thinning beyond expected telogen shift Neuropathy or tingling Muscle weakness Persistent vomiting or diarrhoea If YES Laboratory assessment appropriate If NO Continue structured dietary strategy Step 5: Are High-Risk Factors Present