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Others have recently proposed a more detailed set of criteria encompassing the absence of cardiometabolic disease, healthy cardiometabolic profile, normal blood pressure, normal intrahepatic triglyceride content, and normal insulin sensitivity [79]

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doi: 10.5534/wjmh.180018

10.1016/j.fbio.2020.100717 56 GillessenA.SchmidtH

a) reacting Boc-His(PG)-Aib-OH with H-Glu(OtBu)-Gly-Thr(tBu)-Phe-Thr(tBu)-Ser(tBu)- Asp(OtBu)-Val-Ser(tBu)-Ser(tBu)-Tyr(tBu)-Leu-Glu(OtBu)-Gly-Gln(Trt)-Ala-Ala- Lys(Boc)-Glu(OtBu)-Phe-Ile-Ala-Trp(Boc)-Leu-Val-Arg(Pbf)-Gly-Arg(Pbf)-Gly-Resin to provide Boc-His(PG)-Aib-Glu(OtBu)-Gly-Thr(tBu)-Phe-Thr(tBu)-Ser(tBu)- Asp(OtBu)-Val-Ser(tBu)-Ser(tBu)-Tyr(tBu)-Leu-Glu(OtBu)-Gly-Gln(Trt)-Ala-Ala- Lys(Boc)-Glu(OtBu)-Phe-Ile-Ala-Trp(Boc)-Leu-Val-Arg(Pbf)-Gly-Arg(Pbf)-Gly-Resin (Resin bound Semaglutide backbone), b) converting the compound obtained in step a) to Semaglutide