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It actively secretes pro-inflammatory signalling molecules, including adipokines (such as leptin and resistin) and cytokines (such as tumour necrosis factor-alpha [TNF-] and interleukin-6 [IL-6])

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Some users mix and inject the product themselves without medical supervision, raising the chance of contamination or incorrect dosing

They also had lower rates of lupus flares, hospitalization, heart attack, stroke, and death

Starting at a conservative dose and titrating slowly makes sense for anyone transitioning from a dual agonist to a triple agonist