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Metabolic approaches: GLP-1 Incretins (semaglutide): appetite suppression | GLP-1/GIP incretins (tirzepatide): dual hormonal agonism | 5-Amino-1MQ: NNMT enzyme inhibition a non-hormonal mechanism, directly targeting lipid and NAD+ metabolism

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In 2024, the World Anti-Doping Agency (WADA) added GLP-1s to its monitoring list, signaling that officials are paying close attention to how the drugs are being used in sports