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These results confirm previous work demonstrating that cells can produce active GLP-1 (30, 67) and, further, that active GLP-1 production is amplified in response to a GLP-1R agonist

10.1038/s42255-021-00344-4 Nat

Cell Tissue Res 335:477488 Opere CA, Monjok EM, Kulkarni KH, Njie YF, Ohia SE (2009) Regulation of [ 3 H]D-aspartate release from mammalian isolated retinase by hydrogen sulfide

This means: The actual ingredients and dosages can vary widely from whats listed on the label

Al Allawi warns they should not replace efforts to address the broader lifestyle, environmental, and social factors that contribute to metabolic disease