Ongoing side effects at maintenance tend to be mild and manageable, primarily consisting of reduced appetite (which is the intended effect) and occasional mild nausea that comes and goes
"Elevated cortisol levels can make weight gain more likely by increasing appetite, changing how your body stores fat, and slowing down fat burning
they are also heavily influenced by confounding by indication, channeling bias, and differential reporting behavior once a signal attracts sufficient attention
Translation: the safety of an injectable peptide is not just did you hit the right mass on a spectrum. It is did you remove the near-identical failure sequences and the biological debris that rides along with cheap production. For an approved drug, an enormous amount of expensive downstream purification exists precisely to scrub those impurities back out, and an enormous amount of analytical testing exists to prove they are gone
Eye problems Rapid improvement in blood sugar may temporarily worsen diabetic retinopathy, an eye condition related to type 1 and type 2 diabetes