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However, despite only differing by 2 of the 39 residues (Gly 2 , Glu 3 in Ex4, compared with Ser 2 , Asp 3 in exendin-3), Ex4 was found to have distinct pharmacological properties and does not act at VIP or secretin receptors

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These may include anxiety, dizziness, headaches, nausea, nervousness, and insomnia

This approach aligns with guidance from the Cleveland Clinic, which notes that when appetite is low and hunger is reduced, meal replacement or protein shakes may help manage side effects and make nutrition easier to tolerate

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But you can't eat like crap during those remaining 10 or so hourshere's what I tend to eat throughout the day: Breakfast : low-fat Greek yogurt with sliced bananas and crushed almonds on top