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SIRVA isnt a medical diagnosis so much as it is a medical-legal description

Neurology 81 , 11591165 (2013)

Scale weight loss typically slows after month 6, but body composition improvements often continue through months 612 sometimes more dramatically than the first 16 weeks

Retrieved from Powell, W., Song, X., Mohamed, Y., et al

The molecule carries an -aminoisobutyric acid (Aib) substitution at position 2 that blocks DPP-IV cleavage, conferring complete resistance to the proteolytic step that inactivates native incretins within minutes

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