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Lack of modulation by short-term fasting and some other ingestive peptides that may interact with GLP-1, including leptin, glucagon, insulin, neuropeptide Y, and melanin-concentrating hormone

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The easiest and most often missed safety step is to tell every physician involved surgeon, anesthesiologist, endoscopist, dentist that you are taking a GLP-1 medication and when you last took it

Philippe, Laurence