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The first issue is that it becomes oxidized

Glutamine Glutamine is the most abundant amino acid in the human body and like glutamate, is a nonessential amino acid

Source: Jastreboff et al., NEJM 2023 TRIUMPH-4 Phase 3 (68 weeks, 445 participants) Phase 2 Type 2 Diabetes Trial (36 weeks, 281 participants) In the type 2 diabetes population, weight loss was lower than in the obesity trial which is consistent with the pattern seen across all GLP-1 drugs

But if someone is already taking other medications this can present even further dangers, as you may not know how the drugs will interact, Lyons explained: Counterfeit medications arent tested for safety, and theres no way to know how they might react with other medications youre taking. On top of all this, counterfeit drugs bypass regulatory oversight, he added