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Seek urgent medical attention if you notice dark brown, red, or cola-coloured urine, or if you experience signs of severe dehydration such as dizziness, confusion, or inability to keep fluids down

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These findings suggest that exendin 939 directly interacts with TRPV1, independent of GLP-1R, to inhibit its activation

The article notes the branded product's evidence comes from the STEP trial program with thousands of participants, while compounded semaglutide lacks the same formulation-specific trial data and post-market surveillance

Diabetes 58 , 461-P (2009)