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They get it once a week for 4-6 weeks at first

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GLP-1 receptor agonists work through multiple pathways : they suppress appetite through central brain effects, delay gastric emptying, and enhance glucose-dependent insulin secretion while suppressing glucagon

Effects on aging-related biology, cognitive performance, energy metabolism, antioxidant defense, or tissue repair (depending on the compound) are mediated through specific receptor or enzymatic pathways