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These reactions differ fundamentally from burping and represent a contraindication to GLP-1 therapy entirely

The initial product GLP-1 (137) is susceptible to amidation and proteolytic cleavage which gives rise to the two truncated and equipotent biologically active forms, GLP-1 (736) amide and GLP-1 (737)

Mounjaro is not known to directly cause ketoacidosis when used appropriately

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