The sale of unregistered peptide products raises important questions about compliance with South Africas medicines regulatory framework, particularly where products are imported, manufactured, distributed or promoted outside the legal requirements. For SAHPRA, trying to dismantle this decentralised, online marketplace has turned into a frustrating, constant game of digital whack-a-mole
Achieved dose-dependent weight reductions, with lower doses producing steady, moderate loss Experienced consistent weight improvements whether they had obesity alone or obesity with type 2 diabetes This level of weight loss is similar to early GLP-1 injection trials but delivered through a once-daily pill
Clinically, elevated levels of endogenous GLP-1 have been observed in patients with sepsis (6.35-fold increase), end-stage renal disease (4.46-fold), and burns (2.96-fold), indicating a common physiological response to critical illness ( Despite these observations, exogenous GLP-1RAs appear to exert beneficial effects
Diabetes Care 2025;48(2):292300
GLP1s also reduce circulating vascular inflammatory markers
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