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, 291 , 24036-24040, Ray, P

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2018) was five-armed, four studies (Balercia et al

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Factors Affecting Post-Reconstitution Shelf Life 1

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Injection-Based Administration Subcutaneous injections: All GLP-1 RAs are administered via subcutaneous injection Prefilled pens: Most common delivery system, allows for self-administration Auto-injectors: Simplify the process for patients with dexterity issues Multi-dose pens: Require dose dialing and needle attachment Dosing frequency: Daily: Liraglutide (Saxenda, Victoza), some formulations of exenatide (Byetta) Weekly: Semaglutide (Wegovy, Ozempic), tirzepatide (Mounjaro, Zepbound), dulaglutide (Trulicity), exenatide extended-release (Bydureon) Titration schedules: Most FDA-approved GLP-1 RAs require gradual dose escalation to minimize gastrointestinal side effects

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Noteworthy, diabetic ketoacidosis has been reported in patients with undiagnosed active acromegaly, as demonstrated in a recent case series (92)

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