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The biggest thing I noticed is that it doesnt rely on stimulants, so theres no jitters, no crash, and no weird feeling

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However, in some cases, persistent or severe gastrointestinal symptoms may necessitate dose adjustment, switching to an alternative GLP-1 agent, or discontinuation of therapy

In studies on eight volunteers, carried out in an aircraft at operational cabin altitude (2400 m), no changes in plasma or erythrocyte ChE activity, dark adaptation, or bronchiolar resistance were observed

But some people do talk about this problem in their own reports

Verge, D