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She had been fasting since the night before surgery

The first six amino acids of native GLP-1 are absent, and two key substitutions are introduced: at position 8, alanine is replaced by 2-aminoisobutyric acid (Aib) to prevent degradation by dipeptidyl peptidase-4 (DPP-4), and at position 34, lysine is replaced by arginine to improve stability
Ann Clin Psychiatry

Footnotes Conflict of interest: No potential conflict of interest relevant to this article was reported

Additionally, GLP-1 acts on receptors in the brain's appetite centres, particularly the hypothalamus, promoting feelings of satiety and reducing food intake
