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It can cause blood sugar levels to rise or fall quickly, sometimes in unpredictable ways

doi: 10.1016/j.biopha.2018.07.092 220 SinghSChangHYRichardsTMWeinerJPClarkJMSegalJB

They do not fundamentally change how your mitochondria process energy, nor do they target blood vessels to kill fat cells

The STEP 1 trial studied adults without diabetes who were overweight or obese

Some patients report mild appetite suppression or increased fullness within the first week after their initial injection, though many notice no immediate effects
