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Two newer GLP-1 drugs are also currently in trials and expected to reach the market, which Moni said could further drive down prices on existing medications

Different pharmacies use different vial sizes, labels, and even liquid colors (some add B12 or other additives that change appearance)

There are GLP-1 receptors in blood vessels and on the heart, including, Coviello said, on the sinoatrial nodes that controls the heart rate

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Poor hygiene practices can introduce bacteria or other contaminants, increasing the risk of infection and subsequent injection site reactions

GLP-1 drugs slow digestion and suppress appetite, which can cause low energy from reduced nutrient intake or blood sugar fluctuations