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The formulation of exenatide ER comprises the encapsulation of exenatide IR peptides within 0.06 mm-diameter injectable microspheres made of poly-(D,L lactide-co-glycolide) a biodegradable medical polymer enabling controlled, gradual drug release over an extended period ( 4.2 GLP-1-based agents The focus of GLP-1RA development has predominantly been on designing GLP-1 derivatives resistant to DPP-4 enzymatic activity and exhibiting slow renal clearance through chemical modification and pharmaceutical formulation

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However, in combination with certain diabetes medications that increase insulin production or promote insulin use, the risk of hypoglycemia may be higher

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doi: 10.3390/ijms21197047

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