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It reduces appetite through brain receptors separate from GLP-1, delays stomach emptying, and reduces post-meal blood sugar spikes

Int J Nanomed 16:43354349 Almeida C, Passos LS, Vieira CED, Acayaba RD, Montagner CC, Pinto E, dos Reis Martinez CB, Fonseca AL (2021) Can the insecticide imidacloprid affect the health of the neotropical freshwater fish Astyanax altiparanae (Teleostei: Characidae)

The trial also identified a dose-related dysesthesia (nerve-tingling) signal in 8.8% of 9 mg and 20.9% of 12 mg patients a safety signal that doesn't appear in the cagrilintide literature