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dumping syndrome semaglutide and Dumping Syndrome Can an obese adult with
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doi: 10.1111/dom.12293, 13
Ghrelin/motilin-related peptide is a potent prokinetic to reverse gastric postoperative ileus in rat

(2022) Dual-agonist incretin peptides from fish with potential for obesity-related Type 2 diabetes therapy - A review
Safety issues are as stated above and overall have not been a big concern especially when considering the risk-benefit ratio