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Or is CMS deferring to the Congressional Budget Office which has crunched the numbers

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Glucagon-Like Peptide-1 and Glucagon-Like Peptide-1 Receptors Glucagon-like peptide-1 (GLP-1), a product of the cleavage of proglucagon in L cells of intestinal epithelium, is mainly secreted as GLP-1(7-36) NH2, an amidated 30-amino acid peptide (23, 24)

10.1016/s0378-8741(00)00184-7 473