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Why do people say Optavia ruined their metabolism

[1] [2] Marketed under brand names including Ozempic, Wegovy, and Rybelsus, semaglutide works by mimicking the action of the naturally occurring hormone GLP-1, which enhances glucose-dependent insulin secretion, suppresses glucagon release, slows gastric emptying, and promotes satiety

"Triple agonist peptides: Mechanisms and metabolic effects." Journal of Peptide Research , 2024

It can be hard to tell who is properly licensed, what you are actually paying for, and whether home-visit options are available