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Ethics statement Ethical approval was not provided for this study on human participants because FAERS (FDA Adverse Event Reporting System) is publicly available and anonymous database, so approval and written informed consent were waived by the ethics review board of the Ethical Committee of West China Second University Hospital of Sichuan University

Most compounded GLP-1s were paid for in cash and are often prescribed outside of traditional clinical settings, such as weight loss clinics or telehealth platforms

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points-based (Weightwatchers) systems

Follow-up laboratory workincluding glucose, kidney function, and liver enzymesconfirms that no lasting damage occurred