Nitric Oxide System Interaction: The peptide interacts with the nitric oxide system, which regulates blood vessel dilation and blood flow
Regarding thyroid effects: preclinical studies in rodents have identified C-cell changes with GLP-1 receptor agonists, though the relevance of these findings to humans has not been established

Here is the ingredient list: Water, Glycerin, Propanediol, Niacinamide, Cyclopentasiloxane, Panthenol, Titanium Dioxide (CI 77891), 1,2-Hexanediol, Cyclohexasiloxane, Pentylene Glycol, Hydroxyethyl Acrylate/Sodium Acryloyldimethyl Taurate Copolymer, Sodium Polyacrylate, Dimethiconol, Squalane, Dimethicone/Vinyl Dimethicone Crosspolymer, Dimethicone, Polysorbate 60, Candida Bombicola/Glucose/Methyl Rapeseedate Ferment, Citrus Reticulata (Tangerine) Peel Extract, Butylene Glycol, Saccharide Isomerate, Ethylhexylglycerin, Brassica Oleracea Botrytis (Cauliflower) Extract, Eclipta Prostrata Extract, Xylitylglucoside, Triethoxycaprylylsilane, Adenosine, Anhydroxylitol, Disodium EDTA, Pogostemon Cablin Leaf Extract, Beta-Glucan, Dipropylene Glycol, Xylitol, Salvia Sclarea (Clary) Oil, Melia Azadirachta Leaf Extract, Moringa Oleifera Seed Oil, Perilla Ocymoides Seed Extract, Calamine, Ascorbic Acid, Citric Acid, Glucose, Sodium Citrate, Helianthus Annuus (Sunflower) Seed Oil, Pantothenic Acid, Gaultheria Procumbens (Wintergreen) Leaf Extract, Lactobionic Acid, Linolenic Acid, Tocopheryl Acetate, Biotin, Sodium Lactate, Sodium PCA, Cyanocobalamin, Lactic Acid, Glycolic Acid, Malic Acid, Gold, Pyruvic Acid, Tartaric Acid 11.29.20 Christine said: This has glycolic acid, malic acid and tartaric acid

Fatigue doesn't indicate that medication is workingit's simply a side effect of rapid metabolic change
Novo Nordisk, manufacturer of Wegovy, says it has conducted its own testing of compounded semaglutide products