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45,46 GLP-1RAs GLP-1RAs result from intricate structural modifications to GLP-1, enabling them to not only replicate the pharmacological functions of GLP-1 but also impede its hydrolysis by DPP-4, thereby extending the drugs half-life

Case description The patient was a 78-year-old man with dementia who lived for 16 years in Gypsum, Colorado at 6400 feet (1944 m, 0.79 ATA, 11.6 psi) and was a summertime vacation home neighbor of the primary author in Lake McConaughy, Nebraska (3330 feet altitude, 972 m, 0.89 ATA, 13.0 psi)

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