In randomized phase 3 trials, GLP-1 receptor agonists have shown better or similar efficacy for glycemic control and weight loss in patients with type 2 diabetes when compared with placebo and other classes of antidiabetic medications . Several GLP-1 receptor agonists have also demonstrated cardiovascular benefits in patients at high risk ...Diabetes Drugs You Take by Mouth. ... GIP and GLP-1 receptor agonist. a new class of drugs and includes: Tirzepatide By working with GIP and GLP-1, it increases insulin production, but only when ... See full list on goodrx.com Glucagon-like peptide-1 (GLP-1) agonists (also known as GLP-1 receptor agonists, incretin mimetics, or GLP-1 analogs) represent a class of medications used to treat type 2 diabetes mellitus and, in some cases, obesity. Examples of drugs in this class include exenatide, lixisenatide, liraglutide, albiglutide, dulaglutide, and semaglutide.Administration Side Effects Contraindications GLP-1 receptor agonists are a non-insulin type 2 diabetes medication. GLP-1 agonists help to lower blood sugar and aid in weight loss. Drugs in this class include Byetta (exenatide), Victoza (liraglutide), Trulicity (dulaglutide), and Ozempic (semaglutide) among others. fertnig / istockGLP-1’s are known to cause a delay in gastric emptying, as noted in the label of each of our GLP-1 RA medications. Symptoms of delayed gastric emptying, nausea and vomiting are listed as side ...Consider asking your healthcare provider about GLP-1 medications if you have mild to moderate obesity. For example, 2.4 mg of semaglutide is approved if you have: Body mass index (BMI) over 30.Semaglutide an incretin mimetic; specifically, semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist with 94% sequence homology to human GLP-1. Semaglutide binds and activates the GLP-1 receptor. GLP-1 is an important, gut-derived, glucose homeostasis regulator that is released after the oral ingestion of carbohydrates or fats. Jan 15, 2023 · Overall, GLP-1 RAs treatment is associated with a 9–16% reduction in cardiovascular events and all-cause mortality . For this reason, GLP-1 RAs have become first choice drugs in the subject of diabetes with evidence of atherosclerotic disease and/or previous cardiovascular event . The exact medication that your Clinician will prescribe depends on your medical history, biology, and insurance coverage. When appropriate, they may prescribe GLP-1 medications, including semaglutide (brand names Wegovy, Ozempic, and Rybelsus), liraglutide (brand names Saxenda and Victoza), tirzepatide (brand name Mounjaro), or dulaglutide (brand names Trulicity).Glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) are hormones involved in blood sugar control. ... In trials comparing Mounjaro to other diabetes medications ...Jun 8, 2023 · Summary: GLP-1 receptor agonists are an increasingly popular class of medications for weight loss and diabetes management. An important mechanism for these medications is direct gastric stimulation of GLP-1 receptors leading to delayed gastric emptying and potential for retained gastric contents in patients presenting for anesthesia. See full list on goodrx.com Jul 26, 2023 · A new pharmacy analysis found few people taking GLP-1 drugs like Ozempic and Wegovy stay on these medications after a year. In a report from Reuters, an analysis by Prime Therapeutics, a pharmacy ... Summary: GLP-1 receptor agonists are an increasingly popular class of medications for weight loss and diabetes management. An important mechanism for these medications is direct gastric stimulation of GLP-1 receptors leading to delayed gastric emptying and potential for retained gastric contents in patients presenting for anesthesia.Bottom line References imyskin/iStock via Getty Images Plus Ozempic, Trulicity, and Victoza: these Type 2 diabetes medications have been growing in popularity over the last several years. And they all belong to the same class — glucagon-like peptide-1 (GLP-1) agonists.Jul 9, 2021 · SGLT2 inhibitors are a group of oral medications, whereas GLP-1 receptor agonists are generally injectable therapies. Oral semaglutide is the first oral GLP-1 receptor agonist available. SGLT2 inhibitors and GLP-1 receptor agonists are used in patients with type 2 diabetes as glucose-lowering therapies, with additional benefits of weight loss ... Common side effects of these so-called GLP-1 receptor agonists – nausea, diarrhea, vomiting and constipation – can be significant. ... For those who do, she considers the GLP-1 drugs a good ...Jul 25, 2023 · Drugs such as semaglutide mimic the actions of a hormone called glucagon-like peptide-1, or GLP-1. These so-called GLP-1 analogues have several effects, including slowing stomach emptying, acting ... Aug 8, 2023 · The popularity of Ozempic, Wegovy, and other GLP-1 drugs has skyrocketed recently due to their ability to help people lose weight. However, some insurance companies and employers are halting ... GLP-1 drugs are a class of medications used to treat type 2 diabetes and obesity. They work in three main ways: stimulate insulin production, inhibit glucagon release, and slow insulin absorption by reducing the speed of stomach emptying. The majority of GLP-1 drugs are injections, with only one currently available oral option.GLP-1 agonists are a class of medications that mainly help manage blood sugar (glucose) levels in people with Type 2 diabetes. Some GLP-1 agonists can also help treat obesity. GLP-1 agonists are most often injectable medications, meaning you inject a liquid medication with a needle and syringe.GLP-1 agonists are a class of medications that mainly help manage blood sugar (glucose) levels in people with Type 2 diabetes. Some GLP-1 agonists can also help treat obesity. GLP-1 agonists are most often injectable medications, meaning you inject a liquid medication with a needle and syringe. There are currently seven approved GLP-1 receptor agonists ( Table 1 ); exenatide twice daily, lixisenatide once daily, liraglutide once daily, exenatide once weekly, dulaglutide once weekly, semaglutide once weekly, and oral semaglutide once daily. Of note, due to steady decline in sales, albiglutide (a once weekly GLP-1 RA) was discontinued ...In the most recent clinical trials, less than 5% of people discontinued GLP-1 medications because of side effects. However, in the incredibly rare case that you have side effects that make you ineligible to participate in the program, you’d be offered the choice to stay in the program with a non-GLP-1 medication called metformin (if ...Our findings showed disproportionality for thyroid cancer, medullary thyroid cancer and thyroid neoplasm in patients treated with GLP-1 analogues. We have found evidence from spontaneous reports that GLP-1 analogues are associated with thyroid cancer in patients with diabetes.Dec 9, 2016 · December 9th, 2016. A recent study suggests GLP-1 receptor agonists may be more likely to cause diabetes patients nausea, diarrhea, vomiting, and other gastrointestinal adverse effects at certain doses and in certain combinations with other medications.These findings show that the gastrointestinal adverse effects are according to the study ... Apr 11, 2023 · Stimulating GLP-1 weight loss supplements took on new importance based on a just-released study that showed that the drug semaglutide promoted significant weight loss in obese participants. We’re talking up to 20% of body weight, so this has fostered a lot of attention. Semaglutide is a drug that requires a doctor’s prescription and will ... GLP-1 is secreted by the small intestine in response to nutrient ingestion. It enhances insulin secretion from pancreatic β-cells, and decreases glucagon release from pancreatic α-cells . GLP-1 receptor agonists are useful, injectable drugs for the treatment of T2D as they improve glycemic control and atherosclerosis-related parameters [17-26 ...All three drugs — which are given as injections — work in a similar way: They’re a class of drugs called GLP-1 agonists, which mimic a hormone that helps reduce food intake and appetite.Mar 9, 2021 · There are currently seven approved GLP-1 receptor agonists ( Table 1 ); exenatide twice daily, lixisenatide once daily, liraglutide once daily, exenatide once weekly, dulaglutide once weekly, semaglutide once weekly, and oral semaglutide once daily. Of note, due to steady decline in sales, albiglutide (a once weekly GLP-1 RA) was discontinued ... Apr 11, 2023 · Stimulating GLP-1 weight loss supplements took on new importance based on a just-released study that showed that the drug semaglutide promoted significant weight loss in obese participants. We’re talking up to 20% of body weight, so this has fostered a lot of attention. Semaglutide is a drug that requires a doctor’s prescription and will ... Wegovy is the first once-weekly GLP-1 receptor agonist approved as a weight loss medication for people under the age of 18. Other GLP-1 receptor agonists, including Victoza (liraglutide) and Bydureon-BCise (exenatide), are available as once-daily injections for adolescents who have been diagnosed with type 2 diabetes.How GLP-1 receptor agonist drugs work for weight loss. GLP-1 receptor agonists mimic a protein of the same name that is made naturally in the intestines when we eat. When used for weight management, these medications pump the brakes on our appetites and the rate at which food exits the stomach.Jan 4, 2022 · Many people taking a newer GLP-1 drug for weight loss known as Saxenda, for example, lose at least 5% of their body weight, according to one study by the manufacturer. Older generic medications ... Our findings showed disproportionality for thyroid cancer, medullary thyroid cancer and thyroid neoplasm in patients treated with GLP-1 analogues. We have found evidence from spontaneous reports that GLP-1 analogues are associated with thyroid cancer in patients with diabetes.Incretin mimetics (GLP-1 agonists)—also called glucagon-like peptide-1 (GLP-1) receptor agonists or GLP-1 analogues—are an . They are usually prescribed if you have not been able to manage your condition successfully by taking tablets. GLP-1 agonists mimic your body’s own incretin hormones by lowering your blood sugar levels after you eat.This GLP-1 Agonist Medications Chart outlines the latest GLP-1 medications approved by the FDA for diabetes treatment and the differences and similarities between them. Print out this chart and post in your office as a handy reference for your staff and patients alike. The chart is in PDF format. Use this link to download: GLP-1 Agonist ...Drugs such as semaglutide mimic the actions of a hormone called glucagon-like peptide-1, or GLP-1. These so-called GLP-1 analogues have several effects, including slowing stomach emptying, acting ...Ozempic belongs to a class of medications called GLP-1 agonists used for type 2 diabetes. Other GLP-1 agonist medications similar to Ozempic include Trulicity , Victoza , Bydureon , and Adlyxin . Is Ozempic covered by my insurance?Now joining these weight-loss medications are glucagon-like peptide-1 receptor agonists (GLP-1 RAs), a new class of medications initially developed for and used in the treatment of type 2 diabetes. While most GLP-1 RAs are used primarily for type 2 diabetes management, liraglutide is FDA approved for obesity management. When used for weight ...In randomized phase 3 trials, GLP-1 receptor agonists have shown better or similar efficacy for glycemic control and weight loss in patients with type 2 diabetes when compared with placebo and other classes of antidiabetic medications . Several GLP-1 receptor agonists have also demonstrated cardiovascular benefits in patients at high risk ...Saxenda® should be used in conjunction with intensive lifestyle interventions including healthy food choices and exercise. Saxenda® is one of the GLP-1 medications prescribed by Calibrate doctors. Dose: The beginning dose of Saxenda® is 0.6 mg and titrates up to 3.0 mg. This medication comes in a prefilled pen. Manufacturer: Novo Nordisk.In randomized phase 3 trials, GLP-1 receptor agonists have shown better or similar efficacy for glycemic control and weight loss in patients with type 2 diabetes when compared with placebo and other classes of antidiabetic medications . Several GLP-1 receptor agonists have also demonstrated cardiovascular benefits in patients at high risk ...Aug 18, 2023 · The first step to getting a GLP-1 agonist medication prescription is consulting a licensed medical provider. People who might need a GLP-1 drug prescription can use Push Health to connect with a medical provider who can prescribe GLP-1 medications, including GLP-1 agonist drugs and GLP-1 injection medications, when appropriate to do so. These agents are glucagon-like peptide-1 (GLP-1) agonists, which were first approved for the treatment of type 2 diabetes. The new indications include weight loss in adults with obesity (body mass ...Use of GLP-1 and dual GLP-1/GIP receptor agonists is another strategy to help use these hormones to improve blood glucose management in people with type 2 diabetes. These medications have similar effects to the GLP-1 and GIP produced in the body, but are resistant to being broken down by the DPP-4 enzyme.Online health company Ro is launching a program to offer GLP-1 drugs shipped direct to a patient’s home as part of its new weight management program, which includes real-time tracking of patient ...The popularity of Ozempic, Wegovy, and other GLP-1 drugs has skyrocketed recently due to their ability to help people lose weight. However, some insurance companies and employers are halting ...Diabetes Drugs You Take by Mouth. ... GIP and GLP-1 receptor agonist. a new class of drugs and includes: Tirzepatide By working with GIP and GLP-1, it increases insulin production, but only when ...Common side effects of these so-called GLP-1 receptor agonists – nausea, diarrhea, vomiting and constipation – can be significant. ... For those who do, she considers the GLP-1 drugs a good ...Liraglutide is a GLP-1 RA with a half-life of 13 hours following subcutaneous administration. 42 This prolongation is achieved by reversible binding to endogenous serum albumin, facilitated by an added fatty acid side chain, and thus protection from degradation by dipeptidyl peptidase-4 or kidney filtration. 55 Liraglutide 3.0 mg once daily is ...Semaglutide an incretin mimetic; specifically, semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist with 94% sequence homology to human GLP-1. Semaglutide binds and activates the GLP-1 receptor. GLP-1 is an important, gut-derived, glucose homeostasis regulator that is released after the oral ingestion of carbohydrates or fats.Common side effects of these so-called GLP-1 receptor agonists – nausea, diarrhea, vomiting and constipation – can be significant. ... For those who do, she considers the GLP-1 drugs a good ...By raising hormone levels, semaglutide and similar GLP-1 agonists restore the correct hormone balance, although their effect seems to end if people stop taking the drugs. Recent evidence suggests ...Jan 9, 2023 · This is compared to the largest semaglutide trial, where participants receiving the medication lost an average of almost 15% of their baseline body weight after 68 weeks. Injectable medications. Liraglutide , a once-daily injectable GLP-1 agonist, was the first medication in its class to be approved for weight loss. It’s short-acting, which ... May 3, 2023 · Travis: As you’d expect when looking across multiple drugs, the results vary a bit, but with every new approval of a GLP-1 for weight loss, the results get better and better. For the original obesity-approved GLP-1, Saxenda®, weight loss is around 5% to 6% on average. For Wegovy®, we see about 14% to 15%. Tirzepatide, currently approved for ... However, GLP-1 agonists may increase the risk of hypoglycemia when coadministered with Sulfonylureas or Insulins and their dose should be adjusted to prevent hypoglycemic episodes. In addition, the delay in absorption of interacting drugs could be avoided by taking 1 hour before the administration of GLP-1 agonists. Funding Nil Acknowledgments ...This GLP-1 Agonist Medications Chart outlines the latest GLP-1 medications approved by the FDA for diabetes treatment and the differences and similarities between them. Print out this chart and post in your office as a handy reference for your staff and patients alike. The chart is in PDF format. Use this link to download: GLP-1 Agonist ...Based on these findings, it was hypothesized that GLP-1–derived medications have a potential to cause medullary thyroid carcinoma in humans as well (3,7). It is the purpose of the current review to discuss the evidence in favor and against the hypothesis that GLP-1–based therapies increase cancer risk, specifically the risk for pancreatic ...There have been several cardiovascular outcomes trials (CVOTs) involving GLP-1RAs, which have supported the overall cardiovascular benefits of these drugs. GLP1-RAs lower plasma lipid levels and lower blood pressure (BP), both of which contribute to a reduction of atherosclerosis and reduced CVD.The exact medication that your Clinician will prescribe depends on your medical history, biology, and insurance coverage. When appropriate, they may prescribe GLP-1 medications, including semaglutide (brand names Wegovy, Ozempic, and Rybelsus), liraglutide (brand names Saxenda and Victoza), tirzepatide (brand name Mounjaro), or dulaglutide (brand names Trulicity). How GLP-1 receptor agonist drugs work for weight loss. GLP-1 receptor agonists mimic a protein of the same name that is made naturally in the intestines when we eat. When used for weight management, these medications pump the brakes on our appetites and the rate at which food exits the stomach.Wegovy should not be used in combination with other semaglutide-containing products, other GLP-1 receptor agonists, or other products intended for weight loss, including prescription drugs, over ...Our findings showed disproportionality for thyroid cancer, medullary thyroid cancer and thyroid neoplasm in patients treated with GLP-1 analogues. We have found evidence from spontaneous reports that GLP-1 analogues are associated with thyroid cancer in patients with diabetes.Jan 15, 2023 · Overall, GLP-1 RAs treatment is associated with a 9–16% reduction in cardiovascular events and all-cause mortality . For this reason, GLP-1 RAs have become first choice drugs in the subject of diabetes with evidence of atherosclerotic disease and/or previous cardiovascular event . GLP-1 medications work with your body's natural GLP-1 receptors to regulate weight loss, and metabolic function, as well as decrease your risk of other diseases. GLP-1s lead the pancreas to produce insulin after meals to bring down blood sugar, but they also bind to receptors in the brain to suppress appetite.Jul 17, 2013 · Based on these findings, it was hypothesized that GLP-1–derived medications have a potential to cause medullary thyroid carcinoma in humans as well (3,7). It is the purpose of the current review to discuss the evidence in favor and against the hypothesis that GLP-1–based therapies increase cancer risk, specifically the risk for pancreatic ... Dr Konrad Kangru, a GP with a special interest in diabetes management, says GLP-1 RAs are ‘one of the most significant’ new diabetes medications that have become available in the past 5–10 years. ‘Diet and lifestyle are always number one and metformin is well acknowledged as being our first line intervention for medication,’ he said.Glucagon-like peptide-1 ( GLP-1) is a 30- or 31-amino-acid-long peptide hormone deriving from the tissue-specific posttranslational processing of the proglucagon peptide. It is produced and secreted by intestinal enteroendocrine L-cells and certain neurons within the nucleus of the solitary tract in the brainstem upon food consumption.Dec 28, 2022 · It belongs to a family of relatively new drugs that mimic the effects of an appetite-regulating hormone called GLP-1. These drugs work by stimulating the release of insulin, which helps lower ... Glucagon-like peptide 1 receptor agonists (GLP-1 RAs) are highly effective at lowering hemoglobin A1c (HbA1c) and facilitating weight loss. Four agents in the GLP-1 RA class, albiglutide, liraglutide, dulaglutide, and semaglutide, also have cardioprotective effects. However, subcutaneous administration of these agents remains a major reason for ... Aug 21, 2023 · These drugs act like the GLP-1 hormone in the body, which helps regulate your appetite and how many calories you consume. Phentermine is a type of appetite suppressant, meaning it works to reduce ... Apr 2, 2023 · Makers of these GLP-1 agonists freely agree that people will regain lost pounds if they stop taking the medications, as clinical trial participants did after the trials ended. A new pharmacy analysis found few people taking GLP-1 drugs like Ozempic and Wegovy stay on these medications after a year. In a report from Reuters, an analysis by Prime Therapeutics, a pharmacy ...Jun 10, 2022 · The drugs mimic a hormone produced in the gut called GLP-1, which tells the pancreas to secrete more insulin to control blood sugar. They’re not new to medicine; they’ve been used to treat ... Jun 27, 2023 · The reports from San Diego describe a set of medications with at least one common source of action: They each serve to activate a receptor for a hormone called GLP-1, which stifles appetite and ... Mounjaro® (tirzepatide) is a dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist that was recently approved by the FDA for the treatment of type 2 diabetes. The drug is manufactured by Eli Lilly & Co. and was approved in May 2022. Mounjaro® works similarly to the other drugs in the GLP ...Now joining these weight-loss medications are glucagon-like peptide-1 receptor agonists (GLP-1 RAs), a new class of medications initially developed for and used in the treatment of type 2 diabetes. While most GLP-1 RAs are used primarily for type 2 diabetes management, liraglutide is FDA approved for obesity management. When used for weight ...Drugs such as semaglutide mimic the actions of a hormone called glucagon-like peptide-1, or GLP-1. These so-called GLP-1 analogues have several effects, including slowing stomach emptying, acting ...Apr 11, 2023 · Stimulating GLP-1 weight loss supplements took on new importance based on a just-released study that showed that the drug semaglutide promoted significant weight loss in obese participants. We’re talking up to 20% of body weight, so this has fostered a lot of attention. Semaglutide is a drug that requires a doctor’s prescription and will ... Jun 8, 2023 · Summary: GLP-1 receptor agonists are an increasingly popular class of medications for weight loss and diabetes management. An important mechanism for these medications is direct gastric stimulation of GLP-1 receptors leading to delayed gastric emptying and potential for retained gastric contents in patients presenting for anesthesia. GLP-1 drugs are non-insulin treatments for people with type 2 diabetes.Common side effects of these so-called GLP-1 receptor agonists – nausea, diarrhea, vomiting and constipation – can be significant. ... For those who do, she considers the GLP-1 drugs a good ...Diabetes Drugs You Take by Mouth. ... GIP and GLP-1 receptor agonist. a new class of drugs and includes: Tirzepatide By working with GIP and GLP-1, it increases insulin production, but only when ... It belongs to a family of relatively new drugs that mimic the effects of an appetite-regulating hormone called GLP-1. These drugs work by stimulating the release of insulin, which helps lower ...Jul 26, 2023 · A new pharmacy analysis found few people taking GLP-1 drugs like Ozempic and Wegovy stay on these medications after a year. In a report from Reuters, an analysis by Prime Therapeutics, a pharmacy ...
Common side effects of these so-called GLP-1 receptor agonists – nausea, diarrhea, vomiting and constipation – can be significant. ... For those who do, she considers the GLP-1 drugs a good .... Warmblood sales.com
Dec 12, 2022 · GLP-1 RA were initially developed as glucose-lowering drugs because activation of the GLP-1 receptor by these agents leads to a reduction in blood glucose and an improvement in postprandial glucose metabolism. By stimulating GLP-1R in hypothalamic neurons, GLP-1 RA additionally induce satiety and lead to weight loss. GLP-1 agonists are most often used by people with type 2 diabetes to manage blood sugar levels. GLP-1s can be taken alone, or with metformin or other diabetes drugs. GLP-1s are not approved by the FDA for people with type 1 diabetes. However, some healthcare professionals may prescribe GLP-1s off-label to those with type 1 diabetes.GLP-1 RA were initially developed as glucose-lowering drugs because activation of the GLP-1 receptor by these agents leads to a reduction in blood glucose and an improvement in postprandial glucose metabolism. By stimulating GLP-1R in hypothalamic neurons, GLP-1 RA additionally induce satiety and lead to weight loss.In randomized phase 3 trials, GLP-1 receptor agonists have shown better or similar efficacy for glycemic control and weight loss in patients with type 2 diabetes when compared with placebo and other classes of antidiabetic medications . Several GLP-1 receptor agonists have also demonstrated cardiovascular benefits in patients at high risk ...Nov 1, 2018 · This GLP-1 Agonist Medications Chart outlines the latest GLP-1 medications approved by the FDA for diabetes treatment and the differences and similarities between them. Print out this chart and post in your office as a handy reference for your staff and patients alike. The chart is in PDF format. Use this link to download: GLP-1 Agonist ... Online health company Ro is launching a program to offer GLP-1 drugs shipped direct to a patient’s home as part of its new weight management program, which includes real-time tracking of patient ...Jan 15, 2023 · Overall, GLP-1 RAs treatment is associated with a 9–16% reduction in cardiovascular events and all-cause mortality . For this reason, GLP-1 RAs have become first choice drugs in the subject of diabetes with evidence of atherosclerotic disease and/or previous cardiovascular event . Jan 4, 2022 · Many people taking a newer GLP-1 drug for weight loss known as Saxenda, for example, lose at least 5% of their body weight, according to one study by the manufacturer. Older generic medications ... Ozempic belongs to a class of medications called GLP-1 agonists used for type 2 diabetes. Other GLP-1 agonist medications similar to Ozempic include Trulicity , Victoza , Bydureon , and Adlyxin . Is Ozempic covered by my insurance?GLP-1 agonists are most often used by people with type 2 diabetes to manage blood sugar levels. GLP-1s can be taken alone, or with metformin or other diabetes drugs. GLP-1s are not approved by the FDA for people with type 1 diabetes. However, some healthcare professionals may prescribe GLP-1s off-label to those with type 1 diabetes. atherosclerotic CV disease (ASCVD) or indicators of high ASCVD risk, GLP-1 agonists with proven CV benefit (i.e., label indication of reducing CV disease events) are preferred as add-on therapy; sodium glucose co-transporter-2 (SGLT-2) inhibitors are an alternative. Other medications (GLP-1 agonists, SGLT-2 inhibitors), withGLP-1 is secreted by the small intestine in response to nutrient ingestion. It enhances insulin secretion from pancreatic β-cells, and decreases glucagon release from pancreatic α-cells . GLP-1 receptor agonists are useful, injectable drugs for the treatment of T2D as they improve glycemic control and atherosclerosis-related parameters [17-26 ....
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