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The peptide itself is a GLP-1 receptor agonist

Nausea is the most common side effect and is usually transient, peaking during dose titration and fading within a few weeks

Tier 1 (best tolerated): Chicken breast, turkey breast, white fish (cod, tilapia, halibut), egg whites, Greek yogurt, cottage cheese Tier 2 (well tolerated): Salmon, shrimp, lean ground turkey, tofu, tempeh, edamame Tier 3 (tolerated in moderation): Lean beef (sirloin, tenderloin), pork tenderloin, whole eggs, legumes The pattern is clear

They also inhibit the release of glucagon from pancreatic alpha cells which results in decreased sugar liberation and production in the liver