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Folic acid is the unnatural synthetic form

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It belongs to a novel class of agents known as triple receptor agonists, meaning it is designed to simultaneously activate three distinct hormone receptors: the glucagon-like peptide-1 (GLP-1) receptor, the glucose-dependent insulinotropic polypeptide (GIP) receptor, and the glucagon receptor

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Erring on the side of caution with periodic assessment provides peace of mind and early warning of any unexpected effects