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When in doubt about medication integrity, patients should contact their healthcare provider or pharmacist rather than risk using compromised medication

Pathways leading to GLP-1RA induced natriuresis are unclear, with inhibition of the sodium hydrogen exchanger-3 (NHE3) antiporter in the proximal tubule being one possibility 39 - 41

Treatment may involve dosage calculations, cycle length, delivery method, medication interactions, product quality concerns, and ongoing monitoring

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The MHRA disrupted UK facilities producing counterfeit GLP-1 medicines in February 2026