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Its likely related to a finding that Camilleri and other researchers have repeatedly shown, which is that GLP-1 agonists slow down gastric emptying, the amount of time it takes the stomach to empty its contents into the small intestine (3)

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Serum MMA may also be elevated in thyroid disease, bacterial overgrowth in the small intestine, pregnancy, or a rare genetic disorder in infants called methylmalonic acidemia