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Your metabolism is slowing down. It sounded scientific

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Nagell CF, Wettergren A, Pedersen JF, Mortensen D, Holst JJ (2004) Glucagon-like peptide-2 inhibits antral emptying in man, but is not as potent as glucagon-like peptide-1

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From there, they may gradually increase your dose over time (depending on how well you tolerate the medication) until you reach a maintenance dose for weight loss