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PLoS ONE 6 , e17361 (2011)

Peptides are unstable at room temperature

Concurrent medications should be reviewed

Besides, only in a minority of patients, elevation of pancreatic or liver enzymes was seen, resulting in no pancreatitis and/or cholelithiasis occurrence, which was also verified in a recent meta-analysis showing that treatment with GLP-1-RAs is not associated with increased risk for acute pancreatitis, renal failure, or malignant neoplasms [43]

Chouinard says people who are on psychiatric medications like lithium that require regular monitoring should get blood level checks, as clinically recommended, especially if they go on a GLP-1

Such capsules exist,2 but we were unable to find definitive proof (e.g., a clinical trial mentioning it) that Pendulum uses them