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Concerns with overseas sourcing include: the difficulty of verifying manufacturing standards in another country, the potential for degradation during international shipping (particularly for temperature-sensitive peptides), the challenge of ensuring regulatory compliance across multiple jurisdictions, and the risk of counterfeit or adulterated ingredients entering the supply chain

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Similar results were reported by Gomez et al

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Specifically, it has been established that 50% to 70% of insulin secretion in response to oral glucose administration is due to the incretin effect [1]