glp-1 receptor agonist and dpp-4 inhibitor combination contraindicated DPP4 Inhibitors vs Agonists | June 2021 | Clinical Corner GLP-1 receptor agonists and DPP-4

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### Why These Bodybuilding Peptides Fell Short Despite their popularity in the bodybuilding community, GHRP-based peptides had significant limitations: | Limitation | Details | |-----------|---------| | **Indirect mechanism** | Relied on GH release rather than directly targeting fat metabolism | | **Inconsistent results** | GH response varied dramatically between individuals | | **Appetite stimulation** | GHRP-6 massively increased hunger counterproductive for fat loss and getting slim | | **No major clinical trials** | Never studied in large, placebo-controlled Phase III trials for fat loss | | **Water retention** | GH elevation caused significant water retention, masking fat loss results | | **Cortisol/prolactin effects** | Some GHRPs elevated cortisol and prolactin catabolic and counterproductive for muscle building | | **Now banned** | All classified as FDA Category 2