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Microbial enzymes can be used for selective hydrolysis and splitting

Ethics declarations Competing Interests The authors have no relevant financial or non-financial interests to disclose

But their efficacy comes with several side effects and caveats

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Patients with diabetes, sleep apnea, or certain fatty liver conditions are excluded, on the basis that their plan is already required to cover a GLP-1 for their condition

But as with any new active, a patch test is still a smart move for very reactive skin