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it is a dual GIP and GLP-1 receptor agonist that works through incretin-based mechanisms rather than central nervous system stimulation

2 Macronutrient and Hydration Considerations at Altitude Changes in macronutrient and fluid needs of athletes undertaking altitude training should be considered from two perspectives: (1) the direct effects of a hypoxic environment on physiological processes that affect metabolism, and daily utilization/loss of these nutrients

Gancheva, S., Jelenik, T., lvarez-Hernndez, E

Section 414.1335 is amended by revising paragraph (a) introductory text and adding paragraph (b) to read as follows