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GLP-1 receptor agonists are peptide molecules that gradually degrade over time, particularly when exposed to temperatures outside the recommended range or when stored for extended periods after opening

Rama Rao KV, Norenberg MD (2012) Brain energy metabolism and mitochondrial dysfunction in acute and chronic hepatic encephalopathy

This typically includes regular assessment of vital signs (heart rate, blood pressure), weight and body composition, laboratory parameters (electrolytes, kidney function, lipid panel, hemoglobin A1c if diabetic), mental health status, and gastrointestinal symptoms

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Large meals make the stomach work harder, which can produce more gas and lead to sulfur burps