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For the newer GLP-1 medications, it would be useful to look at whether there are genetic variants, like the variants in PAM, that explain poor responders to their medications. The biological basis of GLP-1 resistance is still unknown and is likely complex

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and KPV (10mg), a three-amino-acid fragment from the C-terminal region of alpha-melanocyte-stimulating hormone

Gua means scraping, and sha is the petechiae that comes up from the scraping