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"I think the next plot twist is that things are about to get really good

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Lixisenatide: Gastrointestinal : acute pancreatitis, hemorrhagic and necrotizing pancreatitis, ileus, intestinal obstruction, severe constipation including fecal impaction Hepatobiliary: cholecystitis, cholelithiasis requiring cholecystectomy Neurologic: dysgeusia, dysesthesia Pulmonary: pulmonary aspiration has occurred in patients receiving GLP-1 receptor agonists under-going elective surgeries or procedures requiring general anesthesia or deep sedation

You watched this story play out for years from your small island nation where the medication wasnt available

Whats the downside then

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