While some media coverage has improved since, say, the 90s, theres still a long way to goand the mere presence of weight loss content makes it hard for people to look away
The most common are gastrointestinal-nausea, diarrhea, vomiting, and constipation

Research has examined its role in: IGFBP-independent IGF-1R binding and receptor activation studies Myogenic cell proliferation, satellite cell activation, and muscle biology research PI3K/Akt/mTOR and MAPK pathway signalling investigations IGFBP-3 regulation and gene expression modelling in muscle cell cultures Tissue repair and wound healing pathway research Comparative IGF-1 analogue studies alongside IGF-1 LR3 and native IGF-1 Neuroregeneration and CNS biology research models Cell differentiation and anti-apoptotic pathway studies IGF-DES and Myogenic Cell Research Treatment of porcine embryonic myogenic cells with Des(1-3)IGF-1 resulted in a threefold reduction in IGFBP-3 levels in conditioned media, while IGF-1 treatment caused a fourfold increase in the steady-state level of myogenin mRNA suggesting that IGF-I treatment accelerates differentiation of myogenic cells, and that this differentiation may be preceded or accompanied by decreased IGFBP-3 production

J Appl Physiol 2004;97:1477-85
Some states have taken particularly aggressive stances: Louisiana's Board of Pharmacy imposed restrictions on semaglutide compounding Alabama's State Board of Medical Examiners issued declaratory rulings Multiple state Attorneys General have issued consumer warnings State medical and pharmacy boards are coordinating with FDA to investigate complaints about compounded semaglutide and tirzepatide products