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These appetite-suppressing medications reduce food consumption substantially, with many users consuming as much as 3040% less food on average

10.1021/acs.nanolett.9b04981 105 ZhangR.SongX.LiangC.YiX.SongG.ChaoY.et al (2017)

Instead, they mimic a group of natural gut hormones called incretins, specifically Glucagon-Like Peptide-1 (GLP-1)

Reported side effects are typically mild and transient: Increased appetite due to ghrelin receptor activation, though less pronounced than with GHRP-6

What those organizations may not have fully accounted for is what happens next

The morning capsules and shake essentially replace breakfast or serve as breakfast itself, given the 20 grams of protein