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The Inevitable Harms of Weight Loss Drugs History tells us it's all too predictable

However, despite the Food and Drug Administration recently raising concerns about the side effects of unapproved GLP-1s for weight loss, one-third of GLP-1 users have switched from brand-name to compounded or custom-mixed drugs

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Because the information provided was often limited and because these events can be influenced by other potential factors, the FDA determined that the information in these reports did not demonstrate a clear relationship with the use of GLP-1 RAs