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Injecting in the evening means peak effects may occur during sleep, which some people prefer because they sleep through the worst of the nausea, though nighttime diarrhea episodes can obviously disrupt sleep
In some particular embodiments of the present invention, the fully-protected fragment of Fmoc-PEG-PEG--Glu-octadecanedioic acid used in the fragmental synthesis of the Lys 26 side chain in the preparation method is prepared by successively coupling a chloride resin to Fmoc-PEG-OH, Fmoc-PEG-OH, Fmoc-Glu(OH)-OtBu and Octadecanedioic Acid mono-tert-butyl ester, cleaving, and recrystallizing to obtain PEG-PEG--Glu-Octadecanedioic Acid mono-tert-butyl ester
Many patients do not see significant weight loss until they reach the 5-7mg dose range
Therefore, they die off
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