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The Bigger Picture The evidence is accumulating, but it's still early and inconsistent across different medications, doses, and populations

Research indicates the medication may influence pro-opiomelanocortin (POMC) neurons that promote satiety whilst potentially reducing the activity of neuropeptide Y (NPY) and agouti-related peptide (AgRP) neurons that stimulate appetite

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They are also very responsive and when Ive had questions or problems they almost immediately got back to me about it

(2) Vial shaken instead of gently swirled, introducing air bubbles and shear stress

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