do glp 1 cause kidney damage GLP1 Receptor Agonists vs SGLT2-I in Preventing CKD in T2DM: An Interview – AJKD Blog New Hope for Kidney Disease:

It can prevent gastrointestinal breakdown as well as first-pass or pre-systemic metabolism, in which the drug's dosage is drastically decreased before it even reaches systemic circulation

While the FDAs Food, Drug, and Cosmetic Act allows it to turn a blind eye to pharmacists producing and selling non-approved compounded versions under certain circumstances, this practice has led to a billion-dollar shadow industry of compounded GLP-1 drugs

Mochi : Best for Budget Injections Mochi Health offers the cheapest compounded semaglutide injections we've found a flat $99/month at any dose

The FDA approved Ozempic for medical use in the United States in 2017