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If the medication freezes, the peptide can break apart

Clinical implications For patients I see many referred for surgery this raises an important question: Could we move from simply optimizing weight before surgery To actually modifying disease progression at the cellular level

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These include: Nausea (very common, affecting more than 1 in 10 patients) Diarrhoea and vomiting (common) Constipation and abdominal pain (common) Dyspepsia and flatulence (common) These symptoms typically diminish over time as the body adjusts to the medication

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