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Key warnings include risk of thyroid C-cell tumors, pancreatitis, gallbladder disease, risk of acute kidney injury with severe gastrointestinal adverse reactions, and potential diabetic retinopathy complications

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In particular, individuals on GLP-1s may not consume enough protein to prevent muscle loss alongside fat loss

Therapeutic use of GLP-1 tends to normalize alpha and beta cell sensitivity to glucose leading to improved glycemic control and reduced diabetic toxicity 7

His sister, Jennifer Stechkober, who also pleaded guilty to selling unapproved medicines, was sent to prison for a year and four months