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It also notes post-thyroidectomy patients often experience altered gastric motility and appetite regulation, which can compound with the GLP-1 effect on gastric emptying

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Elongation to the D- O -Leu-D-Ala-L- O -Val-L-Val chain is presumably followed by transfer to the hydroxy group of a serine of the thioesterase (TE) domain, while a second tetradepsipeptide builds up on the adjacent PCP of CesB

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