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Pickart and Margolina (2018) review documents broad gene-expression effects in vitro
After patients reach a healthy and stable weight, they stay on the highest dose they are tolerating in order to maintain their current weight
Moreover, the shorter gene of DupA exerted some protective effect on the gastric mucosa and decreased the rate of gastric mucosal carcinogenesis in the later stages (Takahashi et al., 2013)
The long half-life is driven by albumin binding (greater than 99% bound), reduced DPP-4 degradation due to the Aib8 substitution, and slowed renal clearance of the larger albumin-bound complex