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The cagrilintide arm is an acylated, long-acting analog of amylin a peptide co-secreted with insulin by pancreatic beta cells associated with slowed gastric emptying, suppressed post-meal glucagon, and satiety via distinct hindbrain pathways [7]

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Unfortunately, the test proved to be too complicated and unwieldly for many patients and their clinicians as it required "an overnight fast, ingestion of (modestly) radioactive cobalamin, a 24-hour collection of urine, a cobalamin injection, two trips to the laboratory, and, if the result [was] abnormal, repetition of the entire procedure with a dose of [intrinsic factor]" (45)

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