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These irregularities are hypothesized to arise from irregular levels of reproductive hormones and changes in insulin sensitivity and leptin levels triggered by fasting regimens [123]

However, this side effect is manageable

The conservative approach is to avoid the combination entirely

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Cagrilintide Cagrilintide is a synthetic peptide under investigation in preclinical and early clinical studies for its potential therapeutic effects related to gastrointestinal and metabolic health