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(See Emerging evidence and recent advances.) The surprising positive outcomes of GLP-1 therapy observed in many disease processes are attributed to the drugs mechanism of action, secondary benefits of controlled disease processes, or disease prevention

[4] [5] This shift in fat distribution carries particular health implications, as visceral adiposity is associated with increased cardiovascular risk, type 2 diabetes, and metabolic syndrome

adding sermorelin introduces unnecessary side-effect risk without strong evidence of added benefit

But the gut is also home to trillions of microbes that influence metabolism

The most common side effects are mild: slight water retention, flushing, or injection site reactions