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If a patient says they bought it online or heard another clinic offers it, that's your cue to educate, not to consider providing it
Never mix with hot beverages or use a steel-blade blender, as heat above 40C (104F) and aggressive mechanical agitation will denature the protein and reduce effectiveness
This matters because peptides are chains of amino acids, and the digestive system is built specifically to break those chains apart
These candidates include dual and triple agonist compounds that activate GLP-1, glucose-dependent insulinotropic polypeptide (GIP), and glucagon receptors
Oral Wegovy, the first FDA-approved oral GLP-1 for weight management, is priced similarly to injectable formulations
For patients with Type 2 diabetes, for people whose endogenous GLP-1 signaling is impaired, they represent a meaningful advance
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