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Several studies have been done where they have definitely looked at how much of this is increased diagnostic accuracy versus actual increases in prevalence

Using less water (e.g., 1mL in a 10mg vial) creates a highly concentrated solution where your dose will be a very small volume, which can be harder to measure accurately

The European Medicines Agency's Pharmacovigilance Risk Assessment Committee (PRAC) has identified ileus as an adverse reaction associated with GLP-1 receptor agonists, making this a recognised rather than merely theoretical risk

The damage happens in deep sleep: alcohol cuts slow-wave sleep, and slow-wave sleep is when the biggest growth hormone pulse of the day occurs