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Many online sources are unregulated, and purity, dosing, sterility, and contamination are real risks

But a study published in the Journal of Clinical Endocrinology and Metabolism by Buse and colleagues found no evidence that tolerance develops toward liraglutide glucose-lowering effects in humans

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If injection site reactions persist, worsen, or show signs of infection such as increasing warmth, spreading redness, or pus formation, those warrant immediate medical attention

doi: 10.1073/pnas.161284798