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Counterfeit pills could be a bigger medical problem, since they could have different purity, chemical alteration, and increased side effects. In early February, the FDA issued a warning about the distribution and use of compounded GLP-1 medications that are not federally approved

Activated POMC neurons process the precursor polypeptide POMC via the action of POMC by proprotein convertase subtilisin/kexin type 1 (PCSK1) to generate, among other peptides, -melanocyte-stimulating hormone (-MSH) [8]

And we still dont fully understand the long-term effects of chronic GLP-1 use