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In monomeric form of DPP4 has no enzyme activity and is only fully active as a homodimer

Safety, Side Effects, and What to Expect GLP-1 medications are generally well-tolerated, with the most common side effects being mild nausea, slight appetite reduction (the intended effect), and occasional constipation during the first few weeks

Supported by multidisciplinary care involving surgeons, endocrinologists, dietitians, and behavioral specialists

The formula is narrowly focused

Dopamine agonists (FDA-approved pramipexole, ropinirole, or rotigotine) are effective but carry risks of augmentation (paradoxical worsening of symptoms) and impulse control disorders with long-term use