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Similarly, rare mutations causing congenital leptin deficiency or leptin resistance in humans are associated with rapid weight gain, severe obesity, low gonadotropin levels, and delayed or absent puberty [464โ467]
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Switching from one GLP-1 receptor agonist, like Semaglutide or Tirzepatide , to another requires careful planning to maintain the benefits of treatment while minimizing potential side effects โ especially those affecting the gastrointestinal system