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This disconnect is specific to patients taking GLP-1 medications, Fanty says

Structural and functional characteristics of oestrogen receptor beta splice variants: implications for the ageing brain

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The Federal Food, Drug, and Cosmetic Act (FDCA) provides that if the advertising or promotion of a compounded drug is false or misleading in any particular, then the drug is misbranded.[2] Importantly, this FDCA misbranding provision does not require a particular person to be responsible for the false or misleading advertising or promotion of a compounded drug

Wang B, Su Z, Kuang M, Luo Y, Xu M, Sun M, et al