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Dextroamphetamine is considered more potent on a milligram-for-milligram basis because the dextro isomer has stronger CNS effects than the levo isomer

Also sometimes people have b12 deficiency and other things wrong too

Every patient undergoes a thorough health evaluation before beginning treatment to ensure safety and eligibility

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GIP Receptor Effects It also stimulates GIP receptors, enhancing insulin responses to meals, complementing the appetite suppression from GLP-1 effects

Neuron (2017) 96:7135