sowell glp 1 POV: you're fighting the GLP-1

Paxil (paroxetine) [prescribing information]

While some may improve insulin sensitivity or slightly reduce appetite, none directly activate GLP-1 receptors with the potency of pharmaceutical-grade agonists

10.1210/jc.2004-2513 Savendahl L, Maes M, Albertsson-Wikland K, Borgstrom B, Carel JC, Henrard S, et al .: Long-term mortality and causes of death in isolated GHD, ISS, and SGA patients treated with recombinant growth hormone during childhood in Belgium, The Netherlands, and Sweden: preliminary report of 3 countries participating in the EU SAGhE study

in such settings, slowed metabolism or altered protein binding can provoke toxic plasma levels even with standard dosing

Q11: What is the maximum daily dose of ipamorelin