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It is likely a different substance altogether, but even if it is a close mimic, the substance could be contaminated, impure, or of an unknown strength. Apovian echoes this: Phase 3 trials arent even finished yet youre really taking your life into your own hands

Glucagon-like peptide 1 activates several signaling pathways related to neuroprotection, like the support of cell growth/survival, enhancement promotion of synapse formation, autophagy, and inhibition of the secretion of proinflammatory cytokines, microglial activation, and apoptosis during neural morphogenesis
