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We know that patients who are treated with GLP-1RA are much less likely to die from any cause than patients treated with DPP-IV inhibitors and sulfonylureas

Epimerization In addition to deconjugation and dehydroxylation, microbial enzymes facilitate the epimerization and oxidation of hydroxyl groups at various positions on the BA nucleus

HR 1.27, 95% CI 1.071.51) (63)

A very interesting paper describing a retrospective cohort analysis entitled "Peri-Procedural Safety of GLP-1 Receptor Agonists in Elective Endoscopy: A Multicenter Retrospective Cohort Study" just published in Journal of Clinical Medicine by Harsimran Kalsi and colleagues