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Conversely, households in higher-income states the District of Columbia, Massachusetts and New Jersey spend 5.7% or less

But as many patients celebrate the pounds dropping and improved blood sugar, others are left asking: Why am I so tired

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While the results were encouraging, by the mid-1990s Holst and Carolyn Deacon, a physiologist at the University of Copenhagen, confirmed an earlier finding by Rolf Mentlein, Baptist Galllwitz and Wolfgang Schmidt based at the University of Kiel in Germany who had found in 1993 that GLP-1 did not last long in the body because it was broken down in minutes by dipeptidyl peptidase-IV (DPP-4), an enzyme found in numerous tissues and in the bloodstream (Mentlein, Galllwitz, Schmidt

(Figure 2)