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The primary concern relates to delayed gastric emptying , a known effect of GLP-1 receptor agonists that is noted in the FDA prescribing information

On the other hand, the most abundant DPP-IV-processed metabolite GLP-1 (9-36) NH2 , has also been reported to have biological activities, protecting human aortic endothelial cells and cardiomyocytes in vivo in dogs (137) and ex vivo in mice (138) and rats (139), even in the absence of a GLP-1 Receptor (140, 139)

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