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Proposed pathways include modulation of multiple neurotransmitter systems (influencing serotonin, dopamine, norepinephrine, GABA, glutamate levels), possible involvement of NMDA receptors, alpha-1 adrenergic signaling (e.g., potentiating pineal acetyltransferase activity), inhibition of somatostatin release via dopaminergic routes, reduced ACTH/cortisol for stress buffering, and stimulated growth hormone or somatoliberin secretion

Patients obtaining the drug through gray-market sources face these risks without medical supervision, dose escalation protocols, or any means of recourse

But how do they impact us in the long run

If clinically appropriate, Zepbound KwikPens can be prescribed through Walgreens Weight Management and picked up at your local Walgreens or a pharmacy of your choice

& Lowe, S