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[57] demonstrated that GLP-1 based agents were associated with a three-fold increased risk of pancreatic enzyme elevation relative to controls, yet did not indicate a significant rise in pancreatitis or pancreatic cancer

doi: 10.3389/fendo.2021.738848 55 YuJHParkSYLeeDYKimNHSeoJA

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Unlike brand-name pens, there is no guarantee that the vial contains the correct amount of medication or is free from dangerous impurities

It's also LegitScript certified, which means a board of medical experts have approved it.

For more information, see our guide on GLP-1 use and pregnancy