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This update elevates obesity within the global noncommunicable disease agenda and sets a clear mandate for action

Expired compounded semaglutide may lose potency, alter chemical composition, or develop bacterial growth, potentially reducing efficacy or causing unexpected effects

Weight rebound after stopping Ozempic occurs because GLP-1 receptor activity returns to baseline levels, allowing appetite hormones to reset

An emerging strategy to mitigate barriers related to NuSH therapy is microdosing, an off- label technique where lower or fractional doses are used to improve access, affordability, and/ or tolerability Microdosing GLP- 1RA and GIP/GLP- 1RA has been advertised by direct- to- consumer telehealth companies and on social media platforms and implemented in clinical practice without peer- reviewed, evidence- based guidance

Importantly, the Ser451/452 doublet was required for GRK2 recruitment to the active GLP-1R
