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On keto, where meal timing is often consolidated into one or two eating windows, this fasting requirement is usually easy to accommodate
It is important to note that while GLP-1RAs have demonstrated CV safety, not all result in an actual reduction in CV adverse events, such as exenatide QW and lixisenatide, both of which were reported to be non-inferior to placebo for MACE [22, 23]
The defense, however, argued that the drugs are designed to delay gastric emptying, which is different from gastroparesis
Here is a nice comparison table and some nuggets to think about
