It is not regulated by the FDA, so, you are taking a risk on that front
GLP-1 agonists work by binding to GLP-1 receptors in the pancreas, stimulating insulin release and suppressing glucagon secretion
They did however comment in their New England Journal of Medicine article that the affinity of lixisenatide for the GLP-1 receptor was up to four times greater than that of human GLP-1and there have been neuroprotective actions shown in animal models of Alzheimers disease. Together, I suspect these were likely strong rationales driving their choice of the use of Lixisenatide
(2018) The Safety and Efficacy of Growth Hormone Secretagogues Mohtashami Z, Singh MK, Salimiaghdam N, Ozgul M, Kenney MC (2022)
These may include: duloxetine (Cymbalta) pregabalin (Lyrica) gabapentin (Horizant, Gabarone, Gralise, Neurontin) These are prescription drugs tied to depression, and you will want to consult your healthcare team before considering these as possible options to treat pain from diabetes-related neuropathy
