The glutamateglutamine cycle does not follow a stoichiometric reaction, with some glutamate lost in other pathways, impacting energy metabolism and neurotransmitter synthesis
See the side-effects section above for the full breakdown
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As a peptide-based injectable medicine, it shares many of the same physicochemical vulnerabilities as other agents in its class such as semaglutide and tirzepatide meaning that correct storage is essential to preserve its structural integrity and therapeutic efficacy
Similar to recommendations regarding pregnancy, the current recommendations are to not take the medication while breastfeeding either, as there is no clear safety data