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Its a dual hormone agonist which means it mimics two hormones at once: GLP-1 (glucagon-like peptide-1) and GIP (glucose-dependent insulinotropic polypeptide)

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10.1038/s12276-022-00738-8 88

Low-grade intestinal inflammation plays a key role in the pathophysiology of visceral pain [53], and gut microbiota can induce gut inflammation by triggering chronic release of pro-inflammatory mediators from the host such as prostaglandin 2, histamine, and cytokines including IL-1, IL-6, IL-8, IL-10, and TNF- [54, 55]

This brand is USA FDA approved

Experiencing withdrawal symptoms when use is suddenly reduced or stopped