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In conclusion, this review indicates that the effects on HR differ within the class of GLP-1 RAs: short-acting GLP-1 RAs are associated with a modest and transient HR increase before returning to baseline levels, while some long-acting GLP-1 RAs are associated with a more pronounced and sustained increase during the day and night

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Similarly, supplychain risk indicators may include broad consumerfacing sales without individualized prescriptions, weak coldchain controls for injectables, unclear sourcing of active ingredients, and labeling or advertising that overstates safety, efficacy, or generic status
