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shortness of breath or a rapid heartbeat (signs of anemia)

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In addition, a large proportion of the GLP-1 RA group (13.8%) had received DPP-4is before baseline, whereas only 0.8% of the DPP-4i group had received GLP-1 RAs prior

Its important to remember that obesity is a chronic, relapsing condition , much like high blood pressure or diabetes