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Marston heard non-adversarial scientific presentations from both sides on the causation question
Lysine at position 34 of GLP-1 is replaced by arginine

This hormone is produced by the gut after eating, and helps regulate appetite, slow digestion, and support steadier blood sugar levels

NHS use will follow the usual process, including an evaluation by NICE, and theres no NICE recommendation for oral semaglutide for weight management at this stage

Lippincott Williams & Wilkins, Philadelphia, PA, USA Krishnan A, Hadi Y, Alqahtani SA et al (2023) Cardiovascular outcomes and mortality after bariatric surgery in patients with nonalcoholic fatty liver disease and obesity
[DOI] [PMC free article] [PubMed] [Google Scholar] 53.Apperloo EM, et al
