Immune-related adverse events and their management in peptide-based therapies. Therapeutic Advances in Chronic Disease , 7(4), 192208
For prednisone, newer, more targeted therapies that reduce side effects are being developed, along with improved formulations that could offer better control of inflammatory diseases with fewer systemic effects.
Infections are rare when proper sterile technique is used but can occur and need antibiotic treatment if they develop
That means its possible that some other factor besides the GLP-1s themselves accounted for the positive findings
This includes how much insulin your body makes, which helps keep your blood sugar low and helps manage hyperglycemia (high blood sugar) in people with type 2 diabetes

mechanism unexplained Relative contributions of direct peptide effects versus downstream IGF-1 actions inadequately characterized Long-term receptor sensitivity and potential for desensitization inadequately studied Individual patient variability in response not well-characterized Potential for differential effects based on endogenous growth hormone status unclear Long-Term Safety Considerations Critical safety questions remain unanswered regarding chronic peptide administration: Cardiovascular safety concerns FDA warnings cite risks of increased heart rate, systemic vasodilation, flushing, and transient hypotension Immunogenicity risks FDA identifies both peptides as potentially immunogenic with risk of serious immune reactions including anaphylaxis Cancer risk theoretical concern that chronic growth hormone/IGF-1 elevation could promote cellular proliferation