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this is literal starvation

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GLP-1 receptor activation slows gastric emptying, which reduces the rate of postprandial glucose absorption and attenuates the postprandial glucose excursion an effect that becomes measurable within the first weeks of the escalation phase even at the 2mg starting dose

Re-Analyzing Phase III Bremelanotide Trials for "Hypoactive behavioral Desire [PMID: 33678061] Laboratory literature summary: Re-Analyzing Phase III Bremelanotide Trials for "Hypoactive behavioral Desire Disorder" in research subjects

Fatigue is another potential side effect of taking a GLP-1