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Whilst no direct causal link has been established in clinical trials, several physiological mechanisms related to the medication's effectsincluding metabolic changes from weight loss, altered digestion, and dietary modificationsmay theoretically explain these anecdotal observations
Bernink FJ, Timmers L, Diamant M, Scholte M, Beek AM, Kamp O, Marques KM, Denham RN, Chen WJ, Doevendans PA, et al: Effect of additional treatment with EXenatide in patients with an Acute Myocardial Infarction: the EXAMI study
While you technically can skip breakfast, it's not recommended
JCI Insight 2019;4(5)
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