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They may contain incorrect doses, different ingredients (like unstudied salt forms), contaminants, or no active drug at all

When respiratory symptoms do occur in patients taking GLP-1 medications, they are more commonly attributable to complications of treatment rather than the medication itself

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doi:10.1089/jir.2017.0069 Orchard TS, Gaudier-Diaz MM, Weinhold KR, Courtney DeVries A