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A clinical review in Mayo Clinic Proceedings notes that GI effects are common across GLP-1 and related therapies

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Avoid drinking alcohol completely as it can further damage your liver and worsen your health condition

Additionally, systemic side effects associated with sustained growth hormone stimulation include symptoms such as abnormal tissue growth, joint discomfort, and potential enlargement of the heart (cardiomegaly), Roberts says (21)

The representative chromatograms and UV spectra of all analyzed compounds have been shown in Figs