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4 The agency is concerned about potentially hazardous substances that can emerge from adulterated active ingredients

However, a pattern of dramatically improved glucose, A1c, lipids, and liver enzymes combined with significant weight loss may raise clinical suspicion that a GLP-1 receptor agonist or similar metabolic medication is being used
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In severe cases, this may be accompanied by sweating, shortness of breath, chest pain, hoarseness, facial swelling, and fever
