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Analysis of extracts from fava beans demonstrated that the toxic compounds are the pyrimidine aglycones, divicine and isouramil, that are derived from the pyrimidine glycosides, vicine and convicine, respectively
FDA reportedly granted GRAS status for one specific oral formulation but not for the injectable peptide
Starting in 2022, increased demand led to shortages of semaglutide injections sold by Novo Nordisk under the brand names Ozempic and Wegovy, as well as tirzepatide injections Zepbound and Mounjaro from competitor Eli Lilly
In parallel, oxidative stress contributes to pathogenesis through an imbalance between pro-oxidant and antioxidant systems, promoting cellular injury and immune dysfunction