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Nat Commun 15 , 9405 (2024)

Seizure activity may spread to adjacent structures of the limbic-hypothalamic-pituitary axis in the brain, which might be responsible for the varied symptoms that occur among patients with ME/CFS

Some women report irregular periods or spotting whilst using GLP-1 medicines, but this is not a recognised or common side effect

But with that said, FDA-approved GLP-1s are much safer than compounded alternatives, so it is a good idea to switch to the name-brand medication when possible. He says that there are no strict guidelines on switching, but since the compounded medications are unregulated and dosing may be inaccurate, it is best to start at a low dose with physician supervision, and titrate the medication up per established recommendations