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GLP-1RAs may benefit COPD patients by acting directly on the lung from mechanisms such as reducing the inflammatory response, improving oxidative stress, regulating protease/anti-protease imbalance, improving airway mucus homeostasis, and reducing airway remodeling

American College of Phlebology

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However, during gastric bypass surgery, the part of the stomach that makes intrinsic factor is no longer available to store and help digest your food