The risk of NAION needs to be taken into account and may help to decide about a more conservative approach in the definition of beginning semaglutide for those subjects without a clear indication for that. When looking at the results of these studies, Bert said its important to note that when looking at the increases of percentages, it demonstrates that it is still very, very rare for a condition like NAION to occur
The first replaces the amino acid alanine at position 8 with 2-aminoisobutyric acid (Aib), making the molecule resistant to cleavage by the enzyme dipeptidyl peptidase-4 (DPP-4), which rapidly inactivates natural GLP-1
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Clinically, it manifests as decreased waist and hip girths and altered silhouette
Its chemical structure is remarkably small, just a hydrogen atom where other amino acids have complex side chains