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Patients whose coverage changes mid-treatment face difficult decisions about continuing at higher out-of-pocket cost, switching to compounded versions, or stopping prematurely

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There isn't solid human data showing it's safe to use this way, and the risks above are not minor

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DPP-4 degrades GLP-1 (7-36) into the non insulinotropic GLP-1 (9-36) (some studies suggest it may have weak insulinotropic activity)

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(verified owner) I have had no side effects

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Characterization of the Responses of Circulating Glucagon-Like Immunoreactivity to Intraduodenal and Intravenous Administration of Glucose

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