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First, it modulates GABAA receptors allosterically, meaning it enhances GABA signaling without directly activating the receptor the way benzodiazepines do

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The injections fit best for the patient who is already committed to a supervised diet-and-exercise program and wants a supportive, in-clinic adjunct — particularly someone who values the recurring touchpoint and the B12-related energy lift while they do the harder work of lifestyle change