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Olfactory dysfunction, including parosmia, has been associated with liraglutide use 46 , likely reflecting GLP-1R-mediated modulation of odor-evoked insulin secretion and foraging behaviors in the olfactory bulb 51,52

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Do not use tap water, distilled water from a grocery store, or any non-pharmaceutical grade liquid

That combined action is the mechanistic feature that separates it from semaglutide-class molecules, and it is the reason the compound is often discussed on its own rather than lumped in with single-target agonists