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10) Hormonal and Endocrine Effects Because metabolic pathways interact closely with endocrine signaling, potential secondary hormonal effects may include: Thyroid function fluctuations Cortisol changes Insulin sensitivity alterations While some research suggests improved metabolic efficiency, endocrine dysregulation remains a theoretical concern without long-term human studies

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GLP-1 RAs were identified in the DRUG files using generic or brand names, including exenatide (BYETTA, BYDUREON BCISE), liraglutide (VICTOZA, SAXENDA, XULTOPHY), lixisenatide (LYXUMIA, ADLYXIN, SOLIQUA), dulaglutide (TRULICITY), semaglutide (OZEMPIC, RYBELSUS, WEGOVY), and tirzepatide (MOUNJARO, ZEPBOUND)

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