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doi: 10.1111/j.1432-1033.1993.tb17986.x

it rises quickly after eating and then again a bit later

Genetics: Genetic predispositions can affect how individuals respond to GLP-1 therapy

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Companies must sterilize vials/syringes, formulate peptides with buffers/excipients, aseptically fill, and lyophilize or vial the product