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Description
This case underscores the potential for tirzepatide to cause severe gastrointestinal dysmotility and fecal stasis, highlighting the importance of vigilance for bowel complications in patients on GLP-1 RAs who present with acute abdominal symptoms [15]
Minced the tissues to small pieces (20 mg) and homogenized them in 1 mL lysis buffer* with a homogenizer on ice

Strategically placed two lactam bridges made the bicyclic peptides resistant to the proteolytic cleavages by NEP 24.11, and d-Ala 8 protected them from the DPP-IV degradation, significantly enhancing metabolic stability
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