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FDA's 2024 review states the mechanism of action is still unknown, which limits how confidently any specific physiological effect can be predicted in humans

Although the reasons for the lack of difference in circulating leptin levels in animals with different degrees of adiposity are unknown, it is possible to speculate that changes in autonomic innervation or hormonal milieu could have affected leptin synthesis and secretion by adipose tissue

Reduced reactive oxygen species (ROS): Stabilizing the electron transport chain limits electron leak, which in turn reduces superoxide and other damaging ROS without broadly interfering with normal redox activity

You wont need injections as often because youre just topping off your bodys supply