The difference is between ingredients that serve the formula (improve delivery, stability, or user experience without introducing incompatibility) and ingredients that serve marketing copy
The medication addresses some of these factors, but not all of them
10.1016/j.gie.2010.06.068 4 Cancer Endoscopy Committee of China Anti-Cancer Association (2019)
Br J Pharmacol 179(4):557570 Tuttle KR, Lakshmanan MC, Rayner B, Busch RS, Zimmermann AG, Woodward DB et al (2018a) Dulaglutide versus insulin glargine in patients with type 2 diabetes and moderate-to-severe chronic kidney disease (AWARD-7): a multicentre, open-label, randomised trial
While GHSR1a activity in the hypothalamus is likely heavily involved in homeostatic mechanisms, its presence in extra hypothalamic regions, including a number of limbic and midbrain structures like the ventral tegmental area (VTA), suggest that this receptor is associated in processes associated with learning and motivation (Abizaid et al., 2006
Without a Trustpilot or BBB record, however, youre betting on the platforms claims rather than a multi-year track record