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GLP-1 medicines for weight loss and diabetes: what you need to know

Key distinctions between these two pathways include the need for molecular oxygen to aid in ring contraction and cobalt insertion: in the aerobic pathway, this occurs only after the synthesis of hydrogenobyrinic acid a , c diamide (late stage), whereas in the anaerobic pathway (as shown in Figure 3), it occurs at the precorrin2 stage (early insertion)
