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The FDA has warned about adverse events linked to compounded and counterfeit GLP-1 products from unregulated sources

Quality assessment The quality of included studies was assessed using the Cochrane risk-of-bias tool

2010;15 Suppl 2:5461

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Microbial metabolites such as SCFAs (e.g., acetate, propionate, and butyrate), secondary bile acids, neurotransmitter-like molecules (e.g., GABA, serotonin, dopamine precursors), and indole derivatives play pivotal roles in influencing mood, cognition, appetite, and stress responses [46, 47]

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