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The most common issues include nausea, vomiting, diarrhea, abdominal pain, and constipation, though more serious side effects such as pancreatitis, gastroparesis, and bowel obstruction have been reported

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It's a potent antioxidant and melanin inhibitor that neutralises oxidative stress and fades dark spots by interrupting melanin production at multiple stages

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The neuroprotective effect of exendin-4 was found to be independent of the glucose-increasing effect, whereas related to increasing the levels of cAMP and reducing oxidative stress and the inflammatory response (83)