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It is not entirely clear if the bacteria penetrate the cells themselves or translocate through the paracellular spaces in these in vitro cultured cell monolayers [76]
Risks associated with counterfeit or unverified GLP-1 medications include: Incorrect dosing that increases side effects or reduces results Contamination due to lack of sterile preparation Unknown ingredients or inconsistent potency No medical oversight or follow-up care Because GLP-1s are injectable medications, even small quality issues can have serious health consequences
T.McCannK
Maybe this effect is negligible considering the overall health benefits of GLP-1s
Anikster Y, Lacbawan F, Brantly M, Gochuico BL, Avila NA, Travis W, Gahl WA (2001) Pulmonary dysfunction in adults with nephropathic cystinosis
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