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Graf and Kastins review catalogues a strikingly broad reported activity profile effects on stress tolerance, pain, thermoregulation, endocrine secretion, and withdrawal states while concluding that the physiological functions and mechanism remain to be established. [2] Schneider-Helmert and Schoenenberger similarly reported that DSIP raised alertness and performance during the waking state and appeared to modulate stress tolerance and coping

Both are GLP-1 medications that deliver semaglutide at similar levels in the body