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This aligns with observations made when the GLP-1 albumin fusions were cleaved at the C-terminal end upon exposure to CPA
The first GLP-1 drug, exenatide, was approved back in 2005 when I was in pharmacy school

Nature Chemical Biology

Skipping meals can cause blood sugar fluctuations, which may worsen fatigue, so aim to eat consistently

Finally, maintain regular follow-up appointments with your diabetes care team to monitor treatment response, side effects, and overall health
