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Additionally, these medications slow gastric emptying, which prolongs the sensation of fullness after meals and reduces appetite through central nervous system effects on satiety centers in the hypothalamus

Some online retailers offer their own clinician to approve the drug's use, but a recent study found that 92% of GLP-1 websites prescribed the medication with little to no oversight, and many did not screen patients for potential allergies or other conditions that would prevent use

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[1] The Weight Loss Medication Revolution A decade ago, the pharmacologic options for obesity were few and underwhelming