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It is contraindicated in patients with pre-existing hypercalcemia, severe renal impairment, or a history of bone metastases or skeletal malignancies, and in those who are at an increased baseline risk for osteosarcoma

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PTH has multiple essential roles in Ca 2+ homeostasis that is, encouraging bone resorption (Silva & Bilezikian 2015) and Ca 2+ reabsorption by the kidneys (Moor & Bonny 2016)

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John Eng at the VA Medical Center in the Bronx discovered exendin-4, a peptide in Gila monster venom that mimicked GLP-1 but lasted hours instead of minutes

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Koutroubakis IE, Malliaraki N, Dimoulios PD, Karmiris K, Castanas E, Kouroumalis EA

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The half-life of survodutide is approximately 109 to 115 hours, or roughly five days

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