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Importantly, any patch claiming to contain actual semaglutide, liraglutide, or other GLP-1 receptor agonists would be an unapproved, potentially illegal drug product in the US

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10.1016/j.ijbiomac.2023.125879 123 Wang YY.ZhangX.TangG.DengP.QinY.HanJ.et al (2023)

Trimethylamine-N-oxide (TMAO), another microbial metabolite, has been linked to oxidative stress, autophagy activation, and renal injury