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Proponents claim these patches can suppress appetite, slow gastric emptying, and improve insulin secretioneffects associated with legitimate GLP-1 receptor agonists

Gaps in regulation, oversight, and surveillance

The Exendin-4 (Ex4) is a 39 amino acid peptide agonist of the GLP-1 receptor

Zhang, Y., Gao, S., Liang, K., Wu, Z., Yan, X., & Liu, W

The program is designed for speed and simplicity, not depth of care

In one case series of 146 patients with type 2 diabetes from India, the prevalence of delayed gastric emptying was 29%, and higher glycosylated hemoglobin (HbA1c) and body mass index were independent predictors of delayed gastric emptying [31]