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A key challenge in studying native GLP-1 is its extremely short in vivo half-life of approximately 12 minutes, owing to rapid inactivation by dipeptidyl peptidase-4 (DPP-4), which cleaves the N-terminal His-Ala dipeptide from GLP-1 to produce the inactive metabolite GLP-1(936)amide

NICE specifically advises against initiating the following medications for chronic primary pain (including fibromyalgia): antiepileptics (including gabapentinoids such as pregabalin and gabapentin), opioids, paracetamol, non-steroidal anti-inflammatory drugs (NSAIDs), benzodiazepines, corticosteroids, and antipsychotics

Overall, the researchers estimated that GLP-1 use was associated with 12 fewer serious addiction-related events per 1,000 users

Programs with ongoing behavioral support help you maintain your progress