(9) A Heinen, R Nederlof, P Panjwani, et al (2018) IGF1 Treatment Improves Cardiac Remodeling after Infarction by Targeting Myeloid Cells Molecular Therapy, 2018 Nov 1, Volume 27 (Issue 1), Pages 4658
Exendin 4 is a long-acting GLP-1 receptor agonist
Pros and Cons Pros: Effective for dark spots Safer than hydroquinone Cons: Limited effect on overall dullness Safety and Combination Safe for long-term use and can be combined with glutathione-based regimens
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If nausea or early GI issues hit, dehydration becomes even more likely