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FDA labeling does include a warning about acute kidney injury in the postmarketing setting, often associated with severe gastrointestinal adverse reactions leading to volume depletion

Although the data in this study cannot be extrapolated directly to humans, it does shed some light on potentially important physiologic effects of the medication. The decrease in lean mass with GLP-1 use was associated with a lesser decrease in skeletal muscle mass and a greater decrease in the size of metabolically active organs such as the liver

You will find a 10 mg bottle available through the site