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(1) Mechanism of action: Pyridostigmine is a reversible acetylcholinesterase inhibitor that prevents acetylcholine (ACh) breakdown at the neuromuscular junction, thereby increasing neurotransmitter availability and enhancing neuromuscular transmission

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we frame it as a supportive tool, not a replacement for GLP-1 when that's the better fit

This selectivity reduces systemic effects seen with full growth hormone