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Patients with a history of pancreatitis, gallbladder disease, or severe gastroparesis may require careful consideration of risks versus benefits
DPP-IV-Resistant, Long-Acting Oxyntomodulin Derivatives

Tang H, et al
Mathieu c, Rodbard HW, Cariou B, et al

But the specifics matter more than the name on the door

it impairs SM microcirculation, lipid oxidation, mitochondrial activity, and glucose metabolism, which might aggravate metabolic dysfunction and IR
