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The more exotic forms (HCl, ethyl ester, buffered, and so on) are all more expensive and none of them have shown a reliable advantage (mostly disadvantages, in fact) over monohydrate in head-to-head studies

It binds to both the glucose-dependent insulinotropic polypeptide (GIP) receptor and the glucagon-like peptide-1 (GLP-1) receptor, triggering cascading metabolic effects that influence appetite, insulin sensitivity, fat metabolism , and gastric emptying speed

It's not laziness

It is also commonly prescribed off-label (for non-FDA-approved use) to help with weight loss and weight management in people with obesity or who are overweight with weight-related medical conditions