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Genetics may play a small part in this

IGF-1 LR3 accelerates cellular repair, stimulates satellite cells, and increases nutrient utilization

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Beyond their role in addiction, GLP-1 receptor agonists are used in a range of medical conditions, including type 2 diabetes, obesity, cardiovascular disease, liver and kidney health, and emerging research in neurodegenerative disorders

So if you're shrinking the size of your stomach with bariatric surgery, it doesn't really address that