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More serious complications from GLP-1 RAs include an increased risk of thyroid cancer,5 gallbladder disease,23 pancreatitis,6 or gastroparesis.29 Phentermine and topiramate have some similar GI side effects, but both add dry mouth to the picture.24 Topiramate can also cause drowsiness, tremors, and some minor bleeding issues like nosebleeds or excessive menstrual bleeding.25 Testosterone replacement therapy safety Testosterone replacement therapy (TRT) poses several significant risks to those who take these drugs and those who live with the patient

Cardiometabolic benefits, such as better blood pressure and cholesterol, can also fade over time once treatment is stopped Lingering side effects Side effects do not vanish immediately

Landmark preclinical studies using animal knockouts have demonstrated that GLP-1 receptors in the brain are capable of controlling food intake and body weight, in addition to the hypophagic effects of endogenous GLP1 via peripheral GLP1 receptors [33]