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Guidelines from the American Diabetes Association and the European Association for the Study of Diabetes recommend GLP-1 medications as preferred agents for patients with atherosclerotic cardiovascular disease, heart failure, or chronic kidney disease

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Request comprehensive metabolic panels every 3-6 months that include: ALT and AST: Primary markers of liver cell damage GGT (gamma-glutamyl transferase): Sensitive marker for alcohol-related liver stress Bilirubin: Measures livers ability to process waste products Albumin: Indicates livers synthetic function Elevated GGT combined with normal or slightly elevated ALT/AST is a pattern that suggests alcohol-related liver stress even when other markers look acceptable

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2 GLP-1 Lys 26 may form a polar interaction with the receptor, which is presumably enhanced by Arg 20 in exenatide, but creates no steric hindrance

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Those who started at 4mg saw faster initial appetite effects but also experienced higher rates of nausea and other gastrointestinal side effects

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Tracked it over 48 weeks

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