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Incretin-based therapies operate on a different axis: they exert modest effects on the lipid panel but substantial effects on systemic inflammation, vascular biology, body composition, blood pressure, and renal hemodynamics [2], [18]

When those behavioural foundations change, physiology often follows

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Ipamorelin is highly selective for the ghrelin receptor and does not trigger the release of stress hormones (cortisol) or lactogenic hormones (prolactin)

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No, lipotropic injections are not available on the NHS as they are not recognised as evidence-based treatments and lack support from NICE guidance for weight management