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It does not inject synthetic GLP-1 into your system the way semaglutide or tirzepatide do
For broader context on supervised peptide care in our area, see our overview of how peptide therapy is approached at our Doral clinic
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Alternatively, the more supported hypothesis is that there could be hyper-responsivity of the cholinergic receptors at a hypothalamic level, causing a greater decrease in somatostatin tone, and elevated GH release from the anterior pituitary gland (153)