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Dont be scared of feeling hungry sometimes

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Apart from the chronotropic effects, direct effects of GLP-1 specifically on the heart have not been comprehensively documented, although evidence exists to suggest that GLP-1 RAs may improve cardiac output as well as cardiomyocyte survival (Ravassa et al., 2012
There is no rule that says you must reach the highest dose

The formulations cited by regulators are produced by specialty compounding pharmacies and arent reviewed by the FDA